Individual
EVANDRO DASILVA MATTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4940
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
136000265
IL
Other
Enumeration date
12/18/2008
Last updated
02/28/2022
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