| 176 Dental Associates Ltd | |
|
176 S Bloomingdale Rd Bloomingdale IL 60108-1404 | |
| (630) 893-6200 | |
| (630) 893-0474 |
| Full Name | 176 Dental Associates Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 176 S Bloomingdale Rd, Bloomingdale, Illinois |
| Authorized Official Name and Position | Joseph Matustik (OWNER) |
| Authorized Official Contact | 6308936200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 176 Dental Associates Ltd 176 S Bloomingdale Rd Bloomingdale IL 60108-1404 Ph: () - | 176 Dental Associates Ltd 176 S Bloomingdale Rd Bloomingdale IL 60108-1404 Ph: (630) 893-6200 |
| NPI Number | 1992858674 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992858674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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