Individual
LANA N DALBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 E LOOP RD STE 201, WHEATON, IL 60189-1938
(630) 315-7461
Mailing address
100 N ADDISON AVE UNIT 505, ELMHURST, IL 60126-3087
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019033946
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021003224
IL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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