Individual
MANINDER MATHARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637
(217) 540-2100
Mailing address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637
(217) 540-2100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26320
FL
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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