Christopher John Doran, D.D.S.
Dentist in Maywood, IL. Individual provider (NPI-1).
NPI number1114260692
StatusActive
Last updated in NPPESSep 4, 2013
Details
- NPI
- 1114260692
- Entity type
- Individual (NPI-1)
- Name
- Christopher John Doran
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2013
- Last updated
- Sep 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.029386 | IL | Yes |
Practice location
2160 S 1st AveBuilding 105, Room 1814
Maywood, IL 60153-3328
Phone 708-327-3041
Mailing address
2160 S 1st AveBuilding 105, Room 1814
Maywood, IL 60153-3328
Phone 708-327-3041
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