Bamini Blau
Dentist, Pediatric Dentistry in Bartlett, IL. Individual provider (NPI-1).
NPI number1376797399
StatusActive
Last updated in NPPESNov 5, 2008
Details
- NPI
- 1376797399
- Entity type
- Individual (NPI-1)
- Name
- Bamini Blau
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2008
- Last updated
- Nov 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 021002113 | IL | Yes |
Practice location
774 W Bartlett RdBartlett, IL 60103-4482
Phone 630-213-3636 · Fax 630-213-3633
Mailing address
774 W Bartlett RdBartlett, IL 60103-4482
Phone 630-213-3636 · Fax 630-213-3633
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