Organization
OPTIMAL DENTAL TINLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MATARIA DDS (OWNER)
(708) 543-0795
Entity
Organization
Contact information
Practice address
15916 HARLEM AVE, SUITE J3, TINLEY PARK, IL 60477-1610
(708) 802-6990
Mailing address
15916 HARLEM AVE, SUITE J3, TINLEY PARK, IL 60477-1610
(708) 802-6990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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