R Tage Welindt Jr DDS Ltd

NPI #1710085410 in Oak Park, Illinois

Provider Information

NPI Number: 1710085410
Entity Type: Organization
Organization Name: R Tage Welindt Jr DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1515 N HARLEM AVE
Address 2: SUITE 200
City: Oak Park
State: Illinois
ZIP Code: 60302-1250
Phone: (708) 848-2853

Authorized Official

Name: DR. RICHARD TAGE WELINDT JR., DDS
Title: PRESIDENT
Phone: (708) 848-2853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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