| Jessica Mattern Dds, Pllc | |
|
326 W Burlington Ave La Grange IL 60525-2363 | |
| (480) 794-0302 | |
| Not Available |
| Full Name | Jessica Mattern Dds, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 326 W Burlington Ave, La Grange, Illinois |
| Authorized Official Name and Position | Jessica Mattern (OWNER) |
| Authorized Official Contact | 4807940302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mattern Dds, Pllc 4126 N Lawler Ave Chicago IL 60641-1742 Ph: (480) 794-0302 | Jessica Mattern Dds, Pllc 326 W Burlington Ave La Grange IL 60525-2363 Ph: (480) 794-0302 |
| NPI Number | 1073125746 |
|---|---|
| Provider Enumeration Date | 08/23/2020 |
| Last Update Date | 08/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073125746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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