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Individual

DR. RAQUEL MARTUCHI JHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
148 E LAKE ST, STE C, BLOOMINGDALE, IL 60108-1182
(512) 354-5852
Mailing address
148 E LAKE ST, STE C, BLOOMINGDALE, IL 60108-1182
(512) 354-5852

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019028919
IL

Other

Enumeration date
09/30/2008
Last updated
11/11/2013
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