Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BAMINI BLAU
Active Sole ProprietorBAMINI BLAU is a Pediatric Dentistry healthcare provider located in BARTLETT, Illinois. NPI 1376797399 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BARTLETT, IL
Registration Details
- NPI Number
- 1376797399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2008 (17.791940912814 yrs)
- Last Updated
- Nov 5, 2008
- License
-
021002113 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
774 W BARTLETT RDBARTLETT, IL, 601034482Browse IL providers · Browse ZIP 60103
- Phone
- 6302133636
- Fax
- 6302133633
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.