Search › Illinois › 122300000X
Ahmed Mataria, D.D.S. PC
NPI 1255567483 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4934 W 95th St
Oak Lawn, IL 60453 - Phone
- (773) 429-1400
- Fax
- (773) 429-1410
- Organisation at this address
- Eco Friendly Dentistry Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 3610 Lomita Blvd Ste 202, Torrance, CA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-08
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