| Tammy Giannetta Dds | |
|
16121 S Farrell Rd Lockport IL 60441-8200 | |
| (815) 524-5053 | |
| (815) 552-2064 |
| Full Name | Tammy Giannetta Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16121 S Farrell Rd, Lockport, Illinois |
| Authorized Official Name and Position | Tammy Giannetta (DENTIST/OWNER) |
| Authorized Official Contact | 8155245053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Giannetta Dds 16121 S Farrell Rd Lockport IL 60441-8200 Ph: (815) 524-5053 | Tammy Giannetta Dds 16121 S Farrell Rd Lockport IL 60441-8200 Ph: (815) 524-5053 |
| NPI Number | 1083073738 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083073738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-026431 (Illinois) | Primary |
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