Individual
ERIN JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1171 N HENDERSON ST, GALESBURG, IL 61401-2523
(309) 343-8727
Mailing address
4207 CLEVELAND AVE, SAINT LOUIS, MO 63110-3504
(847) 894-3874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030187
IL
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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