| Duraes Jham Dental, P.c | |
|
156a East Lake Street Bloomingdale IL 60108-1263 | |
| (708) 834-3602 | |
| Not Available |
| Full Name | Duraes Jham Dental, P.c |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 156a East Lake Street, Bloomingdale, Illinois |
| Authorized Official Name and Position | Gabriela Duraes (PRESIDENT) |
| Authorized Official Contact | 7088343602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duraes Jham Dental, P.c 156a East Lake Street Bloomingdale IL 60108-1263 Ph: (708) 834-3602 | Duraes Jham Dental, P.c 156a East Lake Street Bloomingdale IL 60108-1263 Ph: (708) 834-3602 |
| NPI Number | 1104260884 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104260884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019028921 (Illinois) | Primary |
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