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Organization

MUSTAPHA HOTAIT DDS PC

Active
Other names
dolton dental
Organization subpart
No

Provider details

NPI number
Authorized official
MUSTAPHA HOTAIT DDS (DENTIST)
(708) 849-4644
Entity
Organization

Contact information

Practice address
1350 E SIBLEY BLVD, SUITE # 302, DOLTON, IL 60419-2965
(708) 849-4644
(708) 849-4735
Mailing address
1350 E SIBLEY BLVD, STE 302, DOLTON, IL 60419-2965
(708) 849-4644
(708) 849-4735

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028105
IL

Other

Enumeration date
11/29/2010
Last updated
12/26/2013
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