Optimal Dental Lombard PC

NPI #1366751489 in Lombard, Illinois

Provider Information

NPI Number: 1366751489
Entity Type: Organization
Organization Name: Optimal Dental Lombard PC
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2010
Last Updated: Mar 26, 2014

Practice Location

Address: 246 E JANATA BLVD
Address 2: SUITE 140
City: Lombard
State: Illinois
ZIP Code: 60148-5317
Phone: (630) 629-9398

Authorized Official

Name: AHMED MATARIA, DDS
Title: OWNER
Phone: (708) 543-0795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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