Orland Endodontics | |
16055 108th Ave Ste H Orland Park IL 60467-5347 | |
(708) 460-9191 | |
(708) 460-9407 |
Full Name | Orland Endodontics |
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Speciality | Dentist - Endodontics |
Location | 16055 108th Ave, Orland Park, Illinois |
Authorized Official Name and Position | Vladimir Tismensky (PRESIDENT) |
Authorized Official Contact | 7085768442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orland Endodontics 16055 108th Ave Ste H Orland Park IL 60467-5347 Ph: (708) 460-9191 | Orland Endodontics 16055 108th Ave Ste H Orland Park IL 60467-5347 Ph: (708) 460-9191 |
NPI Number | 1982934972 |
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Provider Enumeration Date | 01/13/2010 |
Last Update Date | 05/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982934972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 02101135 (Illinois) | Primary |
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