Individual
MANOHAR L JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
33 N ADDISON RD, #106, ADDISON, IL 60101-3875
(630) 530-2224
(630) 530-2267
Mailing address
33 N ADDISON RD, #106, ADDISON, IL 60101-3875
(630) 530-2224
(630) 530-2267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016242
IL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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