Matteson Orthodontics Mdpc
Matteson Orthodontics Mdpc is a Dental Clinic/Center in Matteson, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
4440 Lincoln Hwy Ste 300Matteson, IL 60443-3804
Phone: (708) 481-6086
Fax: (708) 481-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 021002232 (IL) |
|---|
Record details
| NPI number | 1295058998 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keyur Shah — Ceo · (708) 481-6086 |
| NPI enumerated | March 9, 2010 |
| Last updated in NPPES | March 9, 2010 |
| Mailing address | 4440 Lincoln Hwy Ste 300, Matteson, IL 60443-3804 |