| Aesthetic Family Dental Of Tinley Park | |
|
16345 Harlem Ave Ste 160 Tinley Park IL 60477-2589 | |
| (708) 781-9754 | |
| (708) 781-9758 |
| Full Name | Aesthetic Family Dental Of Tinley Park |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16345 Harlem Ave Ste 160, Tinley Park, Illinois |
| Authorized Official Name and Position | Jason R Crescenzo (PRESIDENT) |
| Authorized Official Contact | 7087819754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Family Dental Of Tinley Park 16345 Harlem Ave Ste 160 Tinley Park IL 60477-2589 Ph: (708) 781-9754 | Aesthetic Family Dental Of Tinley Park 16345 Harlem Ave Ste 160 Tinley Park IL 60477-2589 Ph: (708) 781-9754 |
| NPI Number | 1629374046 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629374046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019027570 (Illinois) | Primary |
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