Individual
JAWAD GEORGE GHANAYEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1S132 SUMMIT AVE, STE 302, OAKBROOK TERRACE, IL 60181-3955
(630) 620-4370
Mailing address
1S132 SUMMIT AVE, STE 302, OAKBROOK TERRACE, IL 60181-3955
(630) 620-4370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018562
IL
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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