Walter Tatch, D.d.s., Ltd.

NPI #1356423891 in Gurnee, Illinois

Provider Information

NPI Number
1356423891
Entity Type
Organization
Organization Name
Walter Tatch, D.d.s., Ltd.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 20, 2006
Last Updated
Aug 14, 2013

Practice Location

Address
310 S GREENLEAF ST STE 203
City
Gurnee
ZIP Code
60031-5708
Phone
(847) 623-5915

Authorized Official

Name
DR. DIANA MANDEL-TATCH
Title
OFFICE MANAGER
Phone
(972) 898-5336

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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