| Mantis Dentistry | |
|
796 State Line Rd Calumet City IL 60409-4643 | |
| (708) 862-6970 | |
| (708) 862-6975 |
| Full Name | Mantis Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 796 State Line Rd, Calumet City, Illinois |
| Authorized Official Name and Position | Christina Mantis (OWNER) |
| Authorized Official Contact | 7089036110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mantis Dentistry 796 State Line Rd Calumet City IL 60409-4643 Ph: (708) 862-6970 | Mantis Dentistry 796 State Line Rd Calumet City IL 60409-4643 Ph: (708) 862-6970 |
| NPI Number | 1669688875 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669688875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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