| D. Mike Cvetkovic, D.d.s., P.c. | |
|
6686 Joliet Rd Countryside IL 60525-4575 | |
| (708) 783-1100 | |
| (708) 783-1101 |
| Full Name | D. Mike Cvetkovic, D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6686 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | D. Mike Cvetkovic (OWNER) |
| Authorized Official Contact | 7087831100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Mike Cvetkovic, D.d.s., P.c. 6686 Joliet Rd Countryside IL 60525-4575 Ph: (708) 783-1100 | D. Mike Cvetkovic, D.d.s., P.c. 6686 Joliet Rd Countryside IL 60525-4575 Ph: (708) 783-1100 |
| NPI Number | 1942612965 |
|---|---|
| Provider Enumeration Date | 05/25/2014 |
| Last Update Date | 05/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942612965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019019648 (Illinois) | Primary |
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