T Marie PC

NPI #1447584560 in Evanston, Illinois

Provider Information

NPI Number: 1447584560
Entity Type: Organization
Organization Name: T Marie PC
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2009
Last Updated: Sep 22, 2009

Practice Location

Address: 1029 HOWARD ST
City: Evanston
State: Illinois
ZIP Code: 60202-3877
Phone: (847) 491-0660

Authorized Official

Name: DR. TRINA BLUNT
Title: DENTIST
Phone: (773) 827-7874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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