Organization
STAR SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY
Active
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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