| Tara Moustis, D.d.s.,p.c. | |
|
17037 Oak Park Ave Tinley Park IL 60477-2776 | |
| (708) 532-8322 | |
| (708) 532-9210 |
| Full Name | Tara Moustis, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17037 Oak Park Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Tara Moustis (PRESIDENT) |
| Authorized Official Contact | 8154648433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Moustis, D.d.s.,p.c. 17037 Oak Park Ave Tinley Park IL 60477-2776 Ph: (708) 532-8322 | Tara Moustis, D.d.s.,p.c. 17037 Oak Park Ave Tinley Park IL 60477-2776 Ph: (708) 532-8322 |
| NPI Number | 1720136989 |
|---|---|
| Provider Enumeration Date | 01/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720136989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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