Elite Care Dental, P.c. | |
16111 La Salle St South Holland IL 60473-2064 | |
(708) 339-9999 | |
Not Available |
Full Name | Elite Care Dental, P.c. |
---|---|
Speciality | Dentist |
Location | 16111 La Salle St, South Holland, Illinois |
Authorized Official Name and Position | Shafaq Mustafa (DENTIST/OWNER) |
Authorized Official Contact | 7083399999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Care Dental, P.c. 16111 La Salle St South Holland IL 60473-2064 Ph: () - | Elite Care Dental, P.c. 16111 La Salle St South Holland IL 60473-2064 Ph: (708) 339-9999 |
NPI Number | 1003143017 |
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Provider Enumeration Date | 11/11/2009 |
Last Update Date | 11/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003143017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019-026564 (Illinois) | Primary |
News Archive
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