| NPI | 1922719467 |
|---|---|
| Former Legal Business Name | MARTHA P JAIMES DENTISTRY PROFESSIONAL CORP. |
| Entity Type | Organization |
| Authorized Contact | MARTHA JAIMES Owner 630-971-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |