Matteson Orthodontics Mdpc

NPI #1588958177 in Matteson, Illinois

Provider Information

NPI Number
1588958177
Entity Type
Organization
Organization Name
Matteson Orthodontics Mdpc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jun 1, 2011
Last Updated
Jun 1, 2011

Practice Location

Address
4440 LINCOLN HWY
Address 2
SUITE 300
ZIP Code
60443-2349
Phone
(708) 481-6086

Authorized Official

Name
DR. KEYUR A SHAH, DDS, MS
Title
PRESIDENT
Phone
(708) 481-6086

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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