DR. MARK TANNENBAUM, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1083780167
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 19015293 (IL) |
Frequently Asked Questions
NPI 1083780167 is the National Provider Identifier for DR. MARK TANNENBAUM, D.D.S., a Dentist - General Practice provider located in Burbank, IL. This NPI was enumerated on November 28, 2006.
DR. MARK TANNENBAUM, D.D.S. practices at 5307 W 79TH ST, Burbank, IL 60459.
Quick Facts
- NPI
- 1083780167
- Type
- Individual
- Enumerated
- Nov 28, 2006
- Last Updated
- Jul 8, 2007
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