Organization
DENTAL DREAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE THARP (HIRING SPECIALIST)
(312) 274-4524
Entity
Organization
Contact information
Practice address
2034 N STATE ROUTE 50, BOURBONNAIS, IL 60914-4410
(815) 929-0222
Mailing address
350 N CLARK ST FL 6, C/O DANIELLE THARP, CHICAGO, IL 60654-4712
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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