GINA L. TAMBORNINI DDS INC NPI 1861648818

NPI Information

GINA L. TAMBORNINI DDS INC is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GINA L. TAMBORNINI DDS INC NPI is 1861648818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1640 N WELLS ST.
SUITE 205
CHICAGO, IL
ZIP 60614-006
Phone: (312) 642-4218
Fax: (312) 642-6419

The provider's authorized official is Gina Lyn Tambornini .
The authorized official title is Dentist/president and has the following contact phone number (312) 642-4218.

The enumeration date for this NPI number is 8/11/2008 and was last updated on 7/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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