Mathiyazhagan, Mangayarkarasi
Mathiyazhagan, Mangayarkarasi is an individual health care provider with primary practice located at 1403 W Glen Ave , Peoria IL 61614-4705. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mathiyazhagan, Mangayarkarasi can be contacted via phone (888) 988-4066.Contact Information
Primary practice address
1403 W Glen Ave
Peoria IL 61614-4705
Phone: (888) 988-4066
Fax: (847) 496-7603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.029161 | Illinois |
Profile Details
| NPI number | 1225384480 |
|---|---|
| LBN Legal business name | Mathiyazhagan, Mangayarkarasi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Jul 25th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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