Organization
MARTHA P JAIMES DENTISTRY PROFESSIONAL CORP.
Active
Other names
Martha P Jaimes Dentistry Professional Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA JAIMES DMD (OWNER)
(630) 971-0751
Entity
Organization
Contact information
Practice address
432 75TH ST, DOWNERS GROVE, IL 60516-4454
(630) 971-0751
Mailing address
432 75TH ST, DOWNERS GROVE, IL 60516-4454
(630) 971-0751
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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