Individual
AHMED MATARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. PC
Contact information
Practice address
4934 W 95TH ST, OAK LAWN, IL 60453-2504
(773) 429-1400
(773) 429-1410
Mailing address
4934 W 95TH ST, OAK LAWN, IL 60453-2504
(773) 429-1400
(773) 429-1410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027955
IL
122300000X
Dentist
DDS100937
CA
Other
Enumeration date
06/02/2009
Last updated
03/08/2022
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