Organization
JESSICA MATTERN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MATTERN DDS (OWNER)
(480) 794-0302
Entity
Organization
Contact information
Practice address
326 W BURLINGTON AVE, LA GRANGE, IL 60525-2363
(480) 794-0302
Mailing address
4126 N LAWLER AVE, CHICAGO, IL 60641-1742
(480) 794-0302
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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