| Otto J. Tor, D.d.s., Ltd. | |
|
15614 S Harlem Ave Suite A Orland Park IL 60462-4402 | |
| (708) 614-1111 | |
| (708) 614-1117 |
| Full Name | Otto J. Tor, D.d.s., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15614 S Harlem Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Otto James Tor (PRESIDENT) |
| Authorized Official Contact | 7086141111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otto J. Tor, D.d.s., Ltd. 15614 S Harlem Ave Suite A Orland Park IL 60462-4402 Ph: (708) 614-1111 | Otto J. Tor, D.d.s., Ltd. 15614 S Harlem Ave Suite A Orland Park IL 60462-4402 Ph: (708) 614-1111 |
| NPI Number | 1962717314 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962717314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19014420 (Illinois) | Primary |
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