SearchIllinois1223G0001X

Richard Mantoan, DDS

NPI 1740283605 · on the registry since 2005

Practice

Address
19815 Governors Hwy
Ste 7
Flossmoor, IL 60422
Phone
(708) 799-7800
Fax
(708) 799-4864
Organisation at this address
Southland Smiles, Ltd
Paul Anast Dental Pllc
Rebecca Testa Pediatric Dental Specialist Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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