| Star Smiles Orthodontics And Pediatric Dentistry | |
|
148 E Lake St Unit C Bloomingdale IL 60108-1182 | |
| (630) 980-8800 | |
| Not Available |
| Full Name | Star Smiles Orthodontics And Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 148 E Lake St, Bloomingdale, Illinois |
| Authorized Official Name and Position | Andre Jham (DDS) |
| Authorized Official Contact | 6309808800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Smiles Orthodontics And Pediatric Dentistry 148 E Lake St Unit C Bloomingdale IL 60108-1182 Ph: (630) 980-8800 | Star Smiles Orthodontics And Pediatric Dentistry 148 E Lake St Unit C Bloomingdale IL 60108-1182 Ph: (630) 980-8800 |
| NPI Number | 1356683536 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356683536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019028919 (Illinois) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019028920 (Illinois) | Primary |
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