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Organization
MUSTAPHA HOTAIT DDS PC
Active
Organization
MUSTAPHA HOTAIT DDS PC
Active
Other names
dolton dental
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA HOTAIT DDS (DENTIST)
(708) 849-4644
Entity
Organization
Contact information
Practice address
1350 E SIBLEY BLVD, SUITE # 302, DOLTON, IL 60419-2965
(708) 849-4644
(708) 849-4735
Mailing address
1350 E SIBLEY BLVD, STE 302, DOLTON, IL 60419-2965
(708) 849-4644
(708) 849-4735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028105
IL
Other
Enumeration date
11/29/2010
Last updated
12/26/2013
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