DR. Michael John Mabborang, D.D.S.

NPI #1053517417 in Joliet, Illinois

Provider Information

NPI Number: 1053517417
Entity Type: Individual
Name: DR. Michael John Mabborang, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10 S LARKIN AVE
City: Joliet
State: Illinois
ZIP Code: 60436-1243
Phone: (815) 773-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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