Individual
DEVAANSH BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
6800 MAIN ST, 3RD FLOOR, DOWNERS GROVE, IL 60516
(630) 969-5350
Mailing address
13100 LOU ALICE WAY, HERNDON, VA 20171-4206
(571) 218-0083
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019.036165
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401418696
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
18125
MD
Other
Enumeration date
08/25/2021
Last updated
06/24/2025
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