DR. Tara Moustis, D.D.S.
NPI #1851449011 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1851449011
- Entity Type
- Individual
- Name
- DR. Tara Moustis, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17037 OAK PARK AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-2776
- Phone
- (708) 532-8322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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