Individual
JAZMIN DE MARIA SERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1400 W 47TH ST STE 7, LA GRANGE, IL 60525-6148
(708) 482-4420
Mailing address
16791 ARTESIAN AVE, HAZEL CREST, IL 60429-1232
(708) 537-8804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036092
IL
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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