Organization
DISTINCTIVE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVED BHOJANI DDS (OWNER)
(630) 359-0105
Entity
Organization
Contact information
Practice address
322 ERIE CIR, BLOOMINGDALE, IL 60108-8818
(630) 359-0105
Mailing address
322 ERIE CIR, BLOOMINGDALE, IL 60108-8818
(163) 041-7799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
04/18/2022
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