Randallwood Dental

LBN: Tanq 1, Ltd.
Randallwood Dental is an health care organization with primary practice located at 1546 East Main St. , St Charles IL 60174. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Tanq 1, Ltd. can be contacted via phone (630) 377-0034, or through Tanquilut, Rene via phone (630) 377-0034.

Contact Information

Primary practice address
1546 East Main St. St Charles IL 60174
Phone: (630) 377-0034
Fax: (630) 377-3877
Website:
Map and Directions
Authorized official contact:
Name: Tanquilut, Rene Doctor of Dental Surgery (DDS)
Phone: (630) 377-0034

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019023351 Illinois

Profile Details

NPI number 1093160715
LBN Legal business name Tanq 1, Ltd.
DBA Doing business as Randallwood Dental
Authorized official Tanquilut, Rene Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2016
Last updated Jun 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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