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Organization
RAINA DENTAL PC
Active
Organization
RAINA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASLEEN RAINA DDS (DENTIST)
(913) 548-8964
Entity
Organization
Contact information
Practice address
136 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 739-5500
Mailing address
760 VILLAGE CENTER DR, 240, BURR RIDGE, IL 60527-4537
(913) 548-8964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027948
IL
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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