Organization
DR. SIBTAIN KERAI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIBTAIN KERAI D.D.S. (PRESIDENT)
(815) 556-8126
Entity
Organization
Contact information
Practice address
335 N SCHMIDT RD, BOLINGBROOK, IL 60440-1702
(630) 759-1200
(630) 759-3505
Mailing address
1322 WESTHAMPTON DR, PLAINFIELD, IL 60586-5852
(815) 556-8126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026667
IL
122300000X
Dentist
DN 16907
FL
Other
Enumeration date
01/09/2010
Last updated
01/09/2010
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