Individual
JENNA GAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
808 E WOODFIELD RD STE 300, SCHAUMBURG, IL 60173-4836
(925) 285-2411
Mailing address
1724 LOCUST PL APT 303, SCHAUMBURG, IL 60173-4239
(925) 285-2411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN4391
ME
1223E0200X
Endodontics
Primary
19032497
IL
390200000X
Student in an Organized Health Care Education/Training Program
004031
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/16/2014
Last updated
10/19/2020
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