Organization
ALI NEMATOLLAHI D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI NEMATOLLAHI D.D.S. (PRESIDENT)
(847) 998-0255
Entity
Organization
Contact information
Practice address
2634 PATRIOT BLVD, SUITE A, GLENVIEW, IL 60026-8024
(847) 998-0255
(847) 998-0258
Mailing address
2634 PATRIOT BLVD, SUITE A, GLENVIEW, IL 60026-8024
(847) 998-0255
(847) 998-0258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-022805
IL
Other
Enumeration date
05/23/2007
Last updated
06/13/2008
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