Optimal Dental Tinley PC

NPI #1649589755 in Tinley Park, Illinois

Provider Information

NPI Number: 1649589755
Entity Type: Organization
Organization Name: Optimal Dental Tinley PC
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2010
Last Updated: Oct 7, 2010

Practice Location

Address: 15916 HARLEM AVE
Address 2: SUITE J3
City: Tinley Park
State: Illinois
ZIP Code: 60477-1610
Phone: (708) 802-6990

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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