Organization
STAR SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY
Active
Other names
Star Smiles Orthodontics and Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE JHAM (DDS)
(630) 980-8800
Entity
Organization
Contact information
Practice address
148 E LAKE ST, UNIT C, BLOOMINGDALE, IL 60108-1182
(630) 980-8800
Mailing address
148 E LAKE ST, UNIT C, BLOOMINGDALE, IL 60108-1182
(630) 980-8800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019028919
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019028920
IL
Other
Enumeration date
03/26/2013
Last updated
10/30/2013
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