Individual provider · Type 1 NPI

Richard J. Mantoan, DDS

General Practice Dentistry · Flossmoor, IL

NPI number 1740283605 Active · reactivated Mar 20, 2006

About NPI 1740283605

Richard J. Mantoan, DDS's National Provider Identifier is 1740283605, issued on May 24, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flossmoor, IL. The record was last updated on Jul 8, 2007.