Matteson Orthodontics Mdpc

NPI #1295058998 in Matteson, Illinois

Provider Information

NPI Number
1295058998
Entity Type
Organization
Organization Name
Matteson Orthodontics Mdpc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 9, 2010
Last Updated
Mar 9, 2010

Practice Location

Address
4440 LINCOLN HWY STE 300
ZIP Code
60443-3804
Phone
(708) 481-6086

Authorized Official

Name
DR. KEYUR A SHAH, D.D.S.
Title
CEO
Phone
(708) 481-6086

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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