Toothworks INC

NPI #1891976429 in Homer Glen, Illinois

Provider Information

NPI Number: 1891976429
Entity Type: Organization
Organization Name: Toothworks INC
Primary Specialty: Dentist
Enumeration Date: Nov 26, 2007
Last Updated: Nov 26, 2007

Practice Location

Address: 12626 W 159TH ST
City: Homer Glen
State: Illinois
ZIP Code: 60491
Phone: (708) 645-2626

Authorized Official

Name: DR. CHRISTIAN E FOLTYS, DDS
Title: OWNER DENTIST
Phone: (708) 645-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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