| Tatiana Ostanina Dds, Ltd | |
|
7730 W North Ave Elmwood Park IL 60707-4124 | |
| (708) 453-8400 | |
| (708) 453-8440 |
| Full Name | Tatiana Ostanina Dds, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7730 W North Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Tatiana Ostanina (PRESIDENT/OWNER) |
| Authorized Official Contact | 7084538400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tatiana Ostanina Dds, Ltd 7730 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 453-8400 | Tatiana Ostanina Dds, Ltd 7730 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 453-8400 |
| NPI Number | 1336495266 |
|---|---|
| Provider Enumeration Date | 07/29/2012 |
| Last Update Date | 07/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336495266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-025354 (Illinois) | Primary |
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