Mantis Dentistry & Implant Center

NPI #1134660392 in Wilmette, Illinois

Provider Information

NPI Number: 1134660392
Entity Type: Organization
Organization Name: Mantis Dentistry & Implant Center
Primary Specialty: Dentist
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 1625 SHERIDAN RD
City: Wilmette
State: Illinois
ZIP Code: 60091-1824
Phone: (847) 256-4776

Authorized Official

Name: KONSTANTINO MANTIS, DDS
Title: DENTIST
Phone: (847) 256-4776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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