Organization
176 DENTAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MATUSTIK (OWNER)
(630) 893-6200
Entity
Organization
Contact information
Practice address
176 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1404
(630) 893-6200
(630) 893-0474
Mailing address
176 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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