| Organization Name: | TAMBRINI DENTAL SERVICE |
| NPI Number: | 1174799845 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SETH ANDREW TAMBRINI (DENTIST -- PRESIDENT) |
| Mailing Address: | 202 Joliet St Suite 200a Dyer |
| State: | IN US |
| Postal Code: | 463111724 |
| Phone Number: | 2198655040 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2008 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 12010864A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |