Individual
JAMIE BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7630 W 159TH ST, ORLAND PARK, IL 60462-5035
(708) 532-8889
Mailing address
3930 PANDOLA AVE, JOLIET, IL 60431-8839
(815) 529-2858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034412
IL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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