Moustis, Tara

Moustis, Tara is an individual health care provider with primary practice located at 17037 Oak Park Ave , Tinley Park IL 60477-2776. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moustis, Tara can be contacted via phone (708) 532-8322.

Contact Information

Primary practice address
17037 Oak Park Ave Tinley Park IL 60477-2776
Phone: (708) 532-8322
Fax: (708) 532-9210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1851449011
LBN Legal business name Moustis, Tara
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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