Mobile Dental Care of Illinois PC

NPI #1962793943 in Matteson, Illinois

Provider Information

NPI Number: 1962793943
Entity Type: Organization
Organization Name: Mobile Dental Care of Illinois PC
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2011
Last Updated: Jun 30, 2014

Practice Location

Address: 3716 217TH ST
City: Matteson
State: Illinois
ZIP Code: 60443-3703
Phone: (773) 329-4450

Authorized Official

Name: MR. FRANK CHARLES CAMARDA JR.
Title: MANAGER
Phone: (708) 744-9188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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