ROBERT NIDEA

Dentist

Active Individual
NPI: 1790845725

Practice Address

16280 PRINCE DR
South Holland, IL 60473

Phone: (708) 225-1866

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 22529 (TX)
Dentist 122300000X Yes 019-022446 (IL)

Frequently Asked Questions

NPI 1790845725 is the National Provider Identifier for ROBERT NIDEA, a Dentist provider located in South Holland, IL. This NPI was enumerated on December 11, 2006.
ROBERT NIDEA practices at 16280 PRINCE DR, South Holland, IL 60473.

Quick Facts

NPI
1790845725
Type
Individual
Enumerated
Dec 11, 2006
Last Updated
Aug 16, 2016

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