Organization · Type 2 NPI
Tanq 1, Ltd.
Dental Clinic/Center · St. Charles, IL
NPI number
1093160715
Active
Practice location
1546 East Main St.
St. Charles, IL 60174
Fax (630) 377-3877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019023351 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1093160715
Tanq 1, Ltd.'s National Provider Identifier is 1093160715, issued on May 2, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Charles, IL. The record was last updated on Jun 9, 2021.