Michael John Mabborang D.D.S.

NPI 1053517417 - Dentist - 122300000X

NPI Details
NPI 1053517417
Gender Male
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10 S LARKIN AVE
JOLIET IL, 60436-1243, US
Phone (815) 773-6200
Fax (815) 773-6201
Business Location
430 W ERIE ST
STE 500
CHICAGO IL, 60610-6914, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Michael John Mabborang D.D.S. NPI is 1053517417, taxonomy code is 122300000X Michael John Mabborang D.D.S. physically located at 10 S Larkin Ave, Joliet IL, 60436-1243. NPI Number Michael John Mabborang D.D.S. has the Individual type.

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1053517417 NPI number is provided on an as is basis without warranty of any kind. 1053517417 is maintained by the National Plan & Provider Enumeration System. The contents of Michael John Mabborang D.D.S. are for informational purposes only.