Performace Dental Care Il PC

NPI #1447670054 in Tinley Park, Illinois

Provider Information

NPI Number
1447670054
Entity Type
Organization
Organization Name
Performace Dental Care Il PC
Primary Specialty
Dentist
Enumeration Date
Apr 22, 2014
Last Updated
Apr 22, 2014

Practice Location

Address
7230 191ST ST
ZIP Code
60487-9378
Phone
(815) 464-8850

Authorized Official

Name
KEVIN FATLAND FATLAND
Title
DENTIST
Phone
(815) 464-8850

Specialties & Taxonomy Codes

Specialty
Dentist

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