SearchIllinoisGeneral Practice Dentistry

Felicia Mata, DMD

NPI 1528211489 · on the registry since 2008

Practice

Address
30 N Michigan Ave
Suite 822
Chicago, IL 60602
Phone
(312) 263-6793
Fax
(312) 263-0906
Organisation at this address
Gortho Ltd
Dawn Living
Walgreen Co
Deborah Moss
Lb Barry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
375

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
2016-08-20

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