DR. Johnathon Austin Buen-Gharib, DMD

NPI #1871278275 in Oak Park, Illinois

Provider Information

NPI Number: 1871278275
Entity Type: Individual
Name: DR. Johnathon Austin Buen-Gharib, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 21, 2023
Last Updated: Jun 21, 2023

Practice Location

Address: 1128 LAKE ST
City: Oak Park
State: Illinois
ZIP Code: 60301-1013
Phone: (708) 386-6190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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