| Quality Dental Inc | |
|
1121 E. Sibley Blvd Dolton IL 60419 | |
| (708) 201-1072 | |
| (708) 201-1010 |
| Full Name | Quality Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1121 E. Sibley Blvd, Dolton, Illinois |
| Authorized Official Name and Position | Jack Yi (OWNER) |
| Authorized Official Contact | 7082011072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Dental Inc 1121 E. Sibley Blvd Dolton IL 60419 Ph: (708) 201-1072 | Quality Dental Inc 1121 E. Sibley Blvd Dolton IL 60419 Ph: (708) 201-1072 |
| NPI Number | 1912163437 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912163437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024195 (Illinois) | Primary |
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