| Optimal Dental Tinley Pc | |
|
15916 Harlem Ave Suite J3 Tinley Park IL 60477-1610 | |
| (708) 802-6990 | |
| Not Available |
| Full Name | Optimal Dental Tinley Pc |
|---|---|
| Speciality | Dentist |
| Location | 15916 Harlem Ave, Tinley Park, 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 Tinley Pc 15916 Harlem Ave Suite J3 Tinley Park IL 60477-1610 Ph: (708) 802-6990 | Optimal Dental Tinley Pc 15916 Harlem Ave Suite J3 Tinley Park IL 60477-1610 Ph: (708) 802-6990 |
| NPI Number | 1649589755 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649589755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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