Old Town Dental Associates Ltd

NPI #1801859137 in Crete, Illinois

Provider Information

NPI Number: 1801859137
Entity Type: Organization
Organization Name: Old Town Dental Associates Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1397 MAIN ST
City: Crete
State: Illinois
ZIP Code: 60417-2951
Phone: (708) 672-5353

Authorized Official

Name: DR. ANGELA R. BAMMANN, DMD
Title: PRES
Phone: (708) 672-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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