MATTESON ORTHODONTICS MDPC

MATTESON, IL
NPI1295058998
Entity TypeOrganization
Authorized ContactKEYUR A SHAH
CEO
708-481-6086
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  021002232)
Enumeration Date2010-03-09
Last Update Date2010-03-09
Business Address
MATTESON ORTHODONTICS MDPC
4440 LINCOLN HWY STE 300
MATTESON, IL 60443-3804
Phone number: 708-481-6086
Mailing Address
MATTESON ORTHODONTICS MDPC
4440 LINCOLN HWY STE 300
MATTESON, IL 60443-3804
Phone number: 708-481-6086