| Tic Tac Tooth Pediatric Dentistry | |
|
2812 Hassert Blvd Ste 104 Naperville IL 60564-5826 | |
| (312) 480-8720 | |
| Not Available |
| Full Name | Tic Tac Tooth Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2812 Hassert Blvd Ste 104, Naperville, Illinois |
| Authorized Official Name and Position | Asim Awan (DENTIST) |
| Authorized Official Contact | 3124808720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tic Tac Tooth Pediatric Dentistry 4670 Green Bridge Ln Hanover Park IL 60133-2930 Ph: (312) 480-8720 | Tic Tac Tooth Pediatric Dentistry 2812 Hassert Blvd Ste 104 Naperville IL 60564-5826 Ph: (312) 480-8720 |
| NPI Number | 1972740991 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972740991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027437 (Illinois) | Primary |
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