John Mantinaos DMD

NPI 1639328677 - Dentist - 122300000X

NPI Details
NPI 1639328677
Gender Male
Enumeration Date 09/15/2008
Last Updated 10/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
5203 BROADWAY ST
QUINCY IL, 62305-9110, US
Phone (217) 577-2400
Fax (217) 228-1032
Business Location
5203 BROADWAY ST
QUINCY IL, 62305-9110, US
Phone (217) 577-2400
Fax (217) 228-1032
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 048817-1
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According to our database, Dr. John Mantinaos DMD NPI is 1639328677, taxonomy code is 122300000X and license number is 048817-1, license state is located at New York. John Mantinaos DMD physically located at 5203 Broadway St, Quincy IL, 62305-9110. NPI Number John Mantinaos DMD has the Individual type.

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1639328677 NPI number is provided on an as is basis without warranty of any kind. 1639328677 is maintained by the National Plan & Provider Enumeration System. The contents of John Mantinaos DMD are for informational purposes only.