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Individual

JAHNAVI RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS (ORTHO)

Contact information

Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4940
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4940

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019033560
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019033560
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-186
NV

Other

Enumeration date
11/17/2006
Last updated
08/04/2022
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