Organization
DISTINCTIVE DENTAL CARE OF BLOOMINGDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSNA KHAN DDS (DENTIST/OWNER)
(630) 751-9716
Entity
Organization
Contact information
Practice address
1 TIFFANY PT STE 205, BLOOMINGDALE, IL 60108-2916
(630) 359-0105
(630) 523-9105
Mailing address
1 TIFFANY PT STE 205, BLOOMINGDALE, IL 60108-2916
(630) 359-0105
(630) 523-9105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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