Christopher John Doran, D.D.S. Valid NPI
Individual provider · Dentist · Maywood, IL
- NPI
- 1114260692
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 019.029386 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-04-02
- Last updated
- 2013-09-04
Practice location
2160 S 1st Ave, Building 105, Room 1814
Maywood, IL 60153-3328
(708) 327-3041