80th Ave Dental Associates
NPI #1255400925 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1255400925
- Entity Type
- Organization
- Organization Name
- 80th Ave Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 8, 2008
Practice Location
- Address
- 16717 80TH AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-2361
- Phone
- (708) 429-3504
Authorized Official
- Name
- DR. RICHARD A STRAUMAN, DDS
- Title
- PRESIDENT
- Phone
- (708) 429-3504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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