MANGAYARKARASI MATHIYAZHAGAN, DDS
Dentist - General Practice
Active
Individual
NPI: 1225384480
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 019.029161 (IL) |
Frequently Asked Questions
NPI 1225384480 is the National Provider Identifier for MANGAYARKARASI MATHIYAZHAGAN, DDS, a Dentist - General Practice provider located in Peoria, IL. This NPI was enumerated on July 25, 2012.
MANGAYARKARASI MATHIYAZHAGAN, DDS practices at 1403 W GLEN AVE, Peoria, IL 61614.
Quick Facts
- NPI
- 1225384480
- Type
- Individual
- Enumerated
- Jul 25, 2012
- Last Updated
- Jul 25, 2012
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