| Dolton Dental | |
|
1350 E Sibley Blvd Suite # 302 Dolton IL 60419-2965 | |
| (708) 849-4644 | |
| (708) 849-4735 |
| Full Name | Dolton Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1350 E Sibley Blvd, Dolton, Illinois |
| Authorized Official Name and Position | Mustapha Hotait (DENTIST) |
| Authorized Official Contact | 7088494644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dolton Dental 1350 E Sibley Blvd Ste 302 Dolton IL 60419-2965 Ph: (708) 849-4644 | Dolton Dental 1350 E Sibley Blvd Suite # 302 Dolton IL 60419-2965 Ph: (708) 849-4644 |
| NPI Number | 1689976540 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 12/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689976540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028105 (Illinois) | Primary |
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