NPI 1104260884

Duraes Jham Dental, P.C

Organisation Dental Clinic/Center Bloomingdale, IL

Practice location

Address: 156a East Lake Street, Bloomingdale, IL 60108-1263
Phone: (708) 834-3602

Authorised official

Name: Gabriela Duraes
Title: President
Phone: (708) 834-3602

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 019028921 (IL)

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1104260884
Entity type: Organization
NPI issued: 24 Apr 2013
Record last updated: 24 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.