Southland Smiles, Ltd

NPI #1336288695 in Flossmoor, Illinois

Provider Information

NPI Number: 1336288695
Entity Type: Organization
Organization Name: Southland Smiles, Ltd
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 19815 GOVERNORS HWY
Address 2: SUITE 7
City: Flossmoor
State: Illinois
ZIP Code: 60422-4385
Phone: (708) 799-7800

Authorized Official

Name: DR. RICHARD J MANTOAN, DDS
Title: OWNER
Phone: (708) 799-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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