Organization
GENTLECARE FOR KIDS TEETH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAMINI BLAU DDS (PEDIATRIC DENTIST)
(630) 213-3636
Entity
Organization
Contact information
Practice address
774 W BARTLETT RD, BARTLETT, IL 60103
(630) 213-3636
Mailing address
650 MILL CIR, UNIT 305, WHEELING, IL 60090-4208
(630) 213-3636
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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