Stephen P Morimoto, Dds, Ltd | |
219 N Hammes Ave Joliet IL 60435-8114 | |
(815) 741-0095 | |
(815) 741-0328 |
Full Name | Stephen P Morimoto, Dds, Ltd |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 219 N Hammes Ave, Joliet, Illinois |
Authorized Official Name and Position | Stephen P Morimoto (PRESIDENT) |
Authorized Official Contact | 8157410095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stephen P Morimoto, Dds, Ltd 219 N Hammes Ave Joliet IL 60435-8114 Ph: (815) 741-0095 | Stephen P Morimoto, Dds, Ltd 219 N Hammes Ave Joliet IL 60435-8114 Ph: (815) 741-0095 |
NPI Number | 1437355013 |
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Provider Enumeration Date | 06/21/2007 |
Last Update Date | 01/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437355013 | NPI | - | NPPES |
80006668 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
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