NPI 1003077413

Otto James Tor, DDS

Practitioner General Practice Dentistry Orland Park, IL

Practice location

Address: 15614 S Harlem Ave Suite a, Orland Park, IL 60462-4402
Phone: (708) 614-1111

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019.014420 (IL)

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Registry record

NPI: 1003077413
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2008
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.