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Dr. Tony Louis Minutillo, DDS,MSD
Pediatric Dentist in Crystal Lake, Illinois
NPI 1427212018

Tony Louis Minutillo is a Pediatric Dentist based in Crystal Lake, IL and is specialized in Pediatric Dentistry. Tony Louis Minutillo practices in Crystal Lake, IL and has the professional credentials of DDS,MSD. The NPI Number for Tony Louis Minutillo is 1427212018 and holds a License No. 019.022613 (Illinois).

The current practice location address for Tony Louis Minutillo is 820 E Terra Cotta Ave, Crystal Lake, IL and can be reached out via phone at 815-356-7960 and via fax at 815-356-8051.

Location: 820 E Terra Cotta Ave, Crystal Lake, IL, 60014-3649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427212018
Provider Name
Tony Louis Minutillo
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
820 E Terra Cotta Ave, Crystal Lake, IL, 60014-3649
Phone Number
815-356-7960
Fax Number
815-356-8051
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 E Terra Cotta Ave
City
Crystal Lake
State
Illinois
Zip
60014-3649
Phone Number
815-356-7960
Fax Number
815-356-8051
person
Provider Business Mailing Address Details
Address
820 E Terra Cotta Ave
City
Crystal Lake
State
Illinois
Zip
60014-3649
Phone Number
815-356-7960
Fax Number
815-356-8051
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019.022613 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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