Organization · Type 2 NPI
Matteson Orthodontics MDPC
Dental Clinic/Center · Matteson, IL
NPI number
1295058998
Active
Practice location
4440 Lincoln Hwy Ste 300
Matteson, IL 60443-3804
Fax (708) 481-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 021002232 (IL) |
Dental Clinic/Center: Definition to come...
About NPI 1295058998
Matteson Orthodontics MDPC's National Provider Identifier is 1295058998, issued on Mar 9, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Matteson, IL. The record was last updated on Mar 9, 2010.