South Holland Dental PC

NPI #1962822296 in Dolton, Illinois

Provider Information

NPI Number: 1962822296
Entity Type: Organization
Organization Name: South Holland Dental PC
Subpart: Yes (part of a larger organization)
Parent Organization: METROSMILES - CICERO DENTAL, P.C
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2014
Last Updated: Aug 11, 2014

Practice Location

Address: 808 E SIBLEY BLVD
City: Dolton
State: Illinois
ZIP Code: 60419-2130
Phone: (708) 499-0100

Authorized Official

Name: DR. CHRIS TSALIAGOS
Title: PRESIDENT
Phone: (708) 499-0100

Specialties & Taxonomy Codes

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

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