Individual
MANJEEV MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19558 S. HARLEM AVE., SUITE 1, FRANKFORT, IL 60423-6743
(815) 469-1900
(815) 469-1906
Mailing address
19558 S. HARLEM AVE, SUITE 1, FRANKFORT, IL 60423-6743
(815) 469-1900
(815) 469-1906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022800
IL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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