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Individual

DR. KONSTANTINO J MANTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1625 SHERIDAN RD STE J, WILMETTE, IL 60091-1800
(847) 256-4776
(847) 256-0989
Mailing address
1625 SHERIDAN RD STE J, WILMETTE, IL 60091-1800
(847) 256-4776
(847) 256-0989

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020682
IL
1223G0001X
General Practice Dentistry
019020682
IL

Other

Enumeration date
05/15/2007
Last updated
06/17/2024
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