DR. Richard J. Mantoan, DDS

NPI #1740283605 in Flossmoor, Illinois

Provider Information

NPI Number: 1740283605
Entity Type: Individual
Name: DR. Richard J. Mantoan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 24, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 19815 GOVERNORS HWY
Address 2: STE 7
City: Flossmoor
State: Illinois
ZIP Code: 60422-4388
Phone: (708) 799-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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