| Ali Nematollahi D.d.s., P.c. | |
|
2634 Patriot Blvd Suite A Glenview IL 60026-8024 | |
| (847) 998-0255 | |
| (847) 998-0258 |
| Full Name | Ali Nematollahi D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2634 Patriot Blvd, Glenview, Illinois |
| Authorized Official Name and Position | Ali Nematollahi (PRESIDENT) |
| Authorized Official Contact | 8479980255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Nematollahi D.d.s., P.c. 2634 Patriot Blvd Suite A Glenview IL 60026-8024 Ph: (847) 998-0255 | Ali Nematollahi D.d.s., P.c. 2634 Patriot Blvd Suite A Glenview IL 60026-8024 Ph: (847) 998-0255 |
| NPI Number | 1881804573 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881804573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-022805 (Illinois) | Primary |
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