Individual
DR. JONATHAN EDWARD FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1201 W MADISON ST, OTTAWA, IL 61350-2566
(815) 433-1242
(815) 433-6931
Mailing address
1201 W MADISON ST, OTTAWA, IL 61350-2566
(815) 433-1242
(815) 433-6931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-028014
IL
Other
Enumeration date
06/17/2009
Last updated
05/15/2023
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