Mustapha Hotait DDS PC

NPI #1306267265 in Dolton, Illinois

Provider Information

NPI Number
1306267265
Entity Type
Organization
Organization Name
Mustapha Hotait DDS PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 19, 2013
Last Updated
Dec 19, 2013

Practice Location

Address
1350 E SIBLEY BLVD
Address 2
SUITE 302
City
Dolton
ZIP Code
60419-2965
Phone
(313) 999-8889

Authorized Official

Name
MUSTAPHA HOTAIT
Title
PRESIDENT
Phone
(313) 999-8889

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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