Individual
ANNE MARIE ROMAN JARDELEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
624 W VETERANS PKWY, SUITE C, YORKVILLE, IL 60560-4567
(630) 553-8664
Mailing address
1816 N SPAULDING AVE, UNIT #6, CHICAGO, IL 60647-9530
(847) 323-3405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
319.017302
IL
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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