Tinytoothpa Ltd

NPI #1811342702 in Wilmette, Illinois

Provider Information

NPI Number: 1811342702
Entity Type: Organization
Organization Name: Tinytoothpa Ltd
Primary Specialty: Dentist
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 1103 CENTRAL AVE
City: Wilmette
State: Illinois
ZIP Code: 60091-2611
Phone: (847) 256-2501

Authorized Official

Name: MS. ANGELO PANOS
Title: SECRETARY
Phone: (847) 256-2501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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