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Individual
POONAM JAIN
Active
Individual
POONAM JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-024969
IL
Other
Enumeration date
07/28/2006
Last updated
01/08/2025
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