David Tartaglia DDS

NPI 1134353014 - Dentist - 1223G0001X

NPI Details
NPI 1134353014
Gender Male
Enumeration Date 05/07/2009
Last Updated 05/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2028 E RIVERSIDE BLVD
SUITE 210
LOVES PARK IL, 61111-4804, US
Phone (815) 877-4300
Fax (815) 282-5306
Business Location
2028 E RIVERSIDE BLVD
SUITE 210
LOVES PARK IL, 61111-4804, US
Phone (815) 877-4300
Fax (815) 282-5306
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019025599
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According to our database, David Tartaglia DDS NPI is 1134353014, taxonomy code is 1223G0001X and license number is 019025599, license state is located at Illinois. David Tartaglia DDS physically located at 2028 E Riverside Blvd, Loves Park IL, 61111-4804. NPI Number David Tartaglia DDS has the Individual type.

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1134353014 NPI number is provided on an as is basis without warranty of any kind. 1134353014 is maintained by the National Plan & Provider Enumeration System. The contents of David Tartaglia DDS are for informational purposes only.