Mobi-Dent P.c.

NPI #1205001914 in Flossmoor, Illinois

Provider Information

NPI Number
1205001914
Entity Type
Organization
Organization Name
Mobi-Dent P.c.
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Apr 23, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
1719 HEATHER HILL CRES
ZIP Code
60422-2041
Phone
(708) 228-0474

Authorized Official

Name
DR. AVERY CORTEZ POWELL, D.D.S.
Title
PRESIDENT
Phone
(708) 228-0474

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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