| Martha P Jaimes Dentistry Professional Corp. | |
|
432 75th St Downers Grove IL 60516-4454 | |
| (630) 971-0751 | |
| Not Available |
| Full Name | Martha P Jaimes Dentistry Professional Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 432 75th St, Downers Grove, Illinois |
| Authorized Official Name and Position | Martha Jaimes (OWNER) |
| Authorized Official Contact | 6309710751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha P Jaimes Dentistry Professional Corp. 432 75th St Downers Grove IL 60516-4454 Ph: (630) 971-0751 | Martha P Jaimes Dentistry Professional Corp. 432 75th St Downers Grove IL 60516-4454 Ph: (630) 971-0751 |
| NPI Number | 1922719467 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922719467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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