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Mangayarkarasi Mathiyazhagan, DDS
NPI 1225384480 · on the registry since 2012
Practice
- Address
- 1403 W Glen Ave
Peoria, IL 61614 - Phone
- (888) 988-4066
- Fax
- (847) 496-7603
- Organisation at this address
- Familia Dental Peoria 5 Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-25
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois