Thomas K Manolis Dds Ltd | |
48 E 31st St La Grange Park IL 60526-1024 | |
(708) 352-6811 | |
(708) 352-6780 |
Full Name | Thomas K Manolis Dds Ltd |
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Speciality | Dentist |
Location | 48 E 31st St, La Grange Park, Illinois |
Authorized Official Name and Position | Thomas K Manolis (PRESIDENT) |
Authorized Official Contact | 7083526811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas K Manolis Dds Ltd 48 E 31st St La Grange Park IL 60526-1024 Ph: (708) 352-6811 | Thomas K Manolis Dds Ltd 48 E 31st St La Grange Park IL 60526-1024 Ph: (708) 352-6811 |
NPI Number | 1467670364 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 09/24/2008 |
Identifier | Type | State | Issuer |
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1467670364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019011907 (Illinois) | Primary |
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