Jai Vaibhav Lakshmi Service Corporation
NPI #1073252466 in Naperville, Illinois
Provider Information
- NPI Number
- 1073252466
- Entity Type
- Organization
- Organization Name
- Jai Vaibhav Lakshmi Service Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 2, 2022
- Last Updated
- Sep 22, 2022
Practice Location
- Address
- 618 S ROUTE 59 STE 122
- City
- Naperville
- State
- Illinois
- ZIP Code
- 60540-6100
- Phone
- (201) 268-4096
Authorized Official
- Name
- PRABHA SINGH, DMD
- Title
- PRESIDENT
- Phone
- (201) 268-4096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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