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Mustapha Hotait Dds Pc
Dental Clinic/Center in Dolton, Illinois
NPI 1306267265

Mustapha Hotait Dds Pc is a Dental Clinic/Center based in Dolton, IL and is specialized in Dental. Mustapha Hotait Dds Pc practices in Dolton, IL. The NPI Number for Mustapha Hotait Dds Pc is 1306267265 and holds a License No. (Illinois).

The current practice location address for Mustapha Hotait Dds Pc is 1350 E Sibley Blvd, Dolton, IL and can be reached out via phone at 313-999-8889.

Location: 1350 E Sibley Blvd, Dolton, IL, 60419-2965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306267265
Provider Name
Mustapha Hotait Dds Pc
Credential
Provider Entity Type
Organization
Address
1350 E Sibley Blvd, Dolton, IL, 60419-2965
Phone Number
313-999-8889
Fax Number
Provider Enumeration Date
12/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9222481 05 IL
institution
Provider Business Practice Location Address Details
Address
1350 E Sibley Blvd
City
Dolton
State
Illinois
Zip
60419-2965
Phone Number
313-999-8889
Fax Number
person
Provider Business Mailing Address Details
Address
1350 E Sibley Blvd
City
Dolton
State
Illinois
Zip
60419-2965
Phone Number
313-999-8889
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
(Illinois)
Definition
Definition to come...
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