Individual
DR. JASON ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4243 AMBASSADOR CAFFERY PKWY STE 118, LAFAYETTE, LA 70508-7268
(337) 422-3587
Mailing address
3815 TIMBERS EDGE LN, GLENVIEW, IL 60025-1480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032886
IL
122300000X
Dentist
600136815
WI
122300000X
Dentist
Primary
7634
LA
Other
Enumeration date
08/24/2020
Last updated
05/30/2025
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