176 Dental Associates Ltd
NPI #1992858674 in Bloomingdale, Illinois
Provider Information
- NPI Number
- 1992858674
- Entity Type
- Organization
- Organization Name
- 176 Dental Associates Ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 176 S BLOOMINGDALE RD
- City
- Bloomingdale
- State
- Illinois
- ZIP Code
- 60108-1404
- Phone
- (630) 893-6200
Authorized Official
- Name
- JOSEPH MATUSTIK
- Title
- OWNER
- Phone
- (630) 893-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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