Performance Dental Care PC
NPI #1942377908 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1942377908
- Entity Type
- Organization
- Organization Name
- Performance Dental Care PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Aug 28, 2015
Practice Location
- Address
- 7230 191ST ST
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60487-9378
- Phone
- (815) 464-8850
Authorized Official
- Name
- DR. KEVIN L FATLAND, DMD
- Title
- PRES OF CORP
- Phone
- (815) 464-8850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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