Organization
REM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MONTEAGUDO (DDS)
(402) 932-9413
Entity
Organization
Contact information
Practice address
2380 S ELMHURST RD, SUITE 100, MT PROSPECT, IL 60056-5805
(224) 634-1907
Mailing address
2380 S ELMHURST RD, SUITE 100, MT PROSPECT, IL 60056-5805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031022
IL
Other
Enumeration date
05/11/2017
Last updated
11/09/2017
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