Organization
JAWAD G. GHANAYEM, DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAD G. GHANAYEM D.D.S. (DENTIST)
(630) 620-4370
Entity
Organization
Contact information
Practice address
1S132 SUMMIT AVE STE 302, OAKBROOK TERRACE, IL 60181-3942
(630) 620-4370
(630) 620-4371
Mailing address
1S132 SUMMIT AVE STE 302, OAKBROOK TERRACE, IL 60181-3942
(630) 620-4370
(630) 620-4371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018562
IL
Other
Enumeration date
02/26/2007
Last updated
06/19/2012
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