Otto James Tor DDS

NPI 1003077413 - Dentist - 1223G0001X

NPI Details
NPI 1003077413
Gender Male
Enumeration Date 06/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
15614 S HARLEM AVE
SUITE A
ORLAND PARK IL, 60462-4402, US
Phone (708) 614-1111
Fax
Business Location
15614 S HARLEM AVE
SUITE A
ORLAND PARK IL, 60462-4402, US
Phone (708) 614-1111
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019.014420
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According to our database, Dr. Otto James Tor DDS NPI is 1003077413, taxonomy code is 1223G0001X and license number is 019.014420, license state is located at Illinois. Otto James Tor DDS physically located at 15614 S Harlem Ave, Orland Park IL, 60462-4402. NPI Number Otto James Tor DDS has the Individual type.

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1003077413 NPI number is provided on an as is basis without warranty of any kind. 1003077413 is maintained by the National Plan & Provider Enumeration System. The contents of Otto James Tor DDS are for informational purposes only.