| Optimal Dental Lombard Pc | |
|
246 E Janata Blvd Suite 140 Lombard IL 60148-5317 | |
| (630) 629-9398 | |
| Not Available |
| Full Name | Optimal Dental Lombard Pc |
|---|---|
| Speciality | Dentist |
| Location | 246 E Janata Blvd, Lombard, 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 |
|---|---|
| Optimal Dental Lombard Pc 246 E Janata Blvd Suite 140 Lombard IL 60148-5317 Ph: (630) 629-9398 | Optimal Dental Lombard Pc 246 E Janata Blvd Suite 140 Lombard IL 60148-5317 Ph: (630) 629-9398 |
| NPI Number | 1366751489 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366751489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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