| Stephen P Morimoto, Dds, Ltd | |
|
219 N Hammes Ave Joliet IL 60435-8114 | |
| (815) 741-0095 | |
| (815) 741-0328 |
| Full Name | Stephen P Morimoto, Dds, Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 219 N Hammes Ave, Joliet, Illinois |
| Authorized Official Name and Position | Stephen P Morimoto (PRESIDENT) |
| Authorized Official Contact | 8157410095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen P Morimoto, Dds, Ltd 219 N Hammes Ave Joliet IL 60435-8114 Ph: (815) 741-0095 | Stephen P Morimoto, Dds, Ltd 219 N Hammes Ave Joliet IL 60435-8114 Ph: (815) 741-0095 |
| NPI Number | 1437355013 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437355013 | NPI | - | NPPES |
| 80006668 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
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