| New Millennium Smiles Pc | |
|
323 E Cass St Joliet IL 60432-2814 | |
| (708) 543-0795 | |
| Not Available |
| Full Name | New Millennium Smiles Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 323 E Cass St, Joliet, Illinois |
| Authorized Official Name and Position | Ahmed Mataria (OWNER) |
| Authorized Official Contact | 7085430795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Millennium Smiles Pc 323 E Cass St Joliet IL 60432-2814 Ph: (708) 543-0795 | New Millennium Smiles Pc 323 E Cass St Joliet IL 60432-2814 Ph: (708) 543-0795 |
| NPI Number | 1457629578 |
|---|---|
| Provider Enumeration Date | 12/03/2011 |
| Last Update Date | 12/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457629578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027955 (Illinois) | Primary |
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