George D Di Tola DDS Ltd

NPI #1598746364 in Melrose Park, Illinois

Provider Information

NPI Number: 1598746364
Entity Type: Organization
Organization Name: George D Di Tola DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Nov 9, 2005
Last Updated: Jun 16, 2008

Practice Location

Address: 3521 W LAKE ST
City: Melrose Park
State: Illinois
ZIP Code: 60160-2825
Phone: (708) 865-1214

Authorized Official

Name: DR. GEORGE DOMINICK DITOLA, DDS
Title: BUSINESS OWNER
Phone: (708) 865-1214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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