1st Dental Care | |
1556 Douglas Rd Montgomery IL 60538-1645 | |
(630) 859-9340 | |
(630) 859-9341 |
Full Name | 1st Dental Care |
---|---|
Speciality | Dentist |
Location | 1556 Douglas Rd, Montgomery, Illinois |
Authorized Official Name and Position | Abdul G Malaki (DENTIST) |
Authorized Official Contact | 6308599340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1st Dental Care 1556 Douglas Rd Montgomery IL 60538-1645 Ph: (630) 859-9340 | 1st Dental Care 1556 Douglas Rd Montgomery IL 60538-1645 Ph: (630) 859-9340 |
NPI Number | 1386719391 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 10/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386719391 | NPI | - | NPPES |
1114091030 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019023856 (Illinois) | Primary |
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