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
- City
- Tinley Park
- State
- Illinois
- 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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