Individual
DR. EDDY ROMERO MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4518 BEAU MONDE DR APT 106, LISLE, IL 60532-1519
(630) 945-2901
Mailing address
4518 BEAU MONDE DR APT 106, LISLE, IL 60532-1519
(630) 945-2901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031624
IL
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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