JASON DIFANI, DDS, PC

CHICAGO, IL
NPI1689960593
Entity TypeOrganization
Authorized ContactJASON T DIFANI
Owner
309-824-8835
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019027928)
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
JASON DIFANI, DDS, PC
5050 S KEDZIE AVE UNIT A
CHICAGO, IL 60632-3009
Phone number: 773-778-2200
Mailing Address
JASON DIFANI, DDS, PC
1843 W ROSCOE ST APT 1
CHICAGO, IL 60657-1102
Phone number: 309-824-8835