Michael John Mabborang, D.D.S.

Dentist · Joliet, IL

Individual Active NPI

NPI number 1053517417

Practice location

10 S Larkin Ave
Joliet, IL 60436-1243
Phone
(815) 773-6200
Fax
(815) 773-6201

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NPI record

NPI
1053517417
Entity type
Individual (Type 1)
Enumeration date
June 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Mailing address

430 W Erie St
Ste 500
Chicago, IL 60610-6914

About Dr. Mabborang

Michael John Mabborang, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10 S Larkin Ave, Joliet, IL 60436-1243. The NPI number 1053517417 was assigned on June 22, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Michael John Mabborang, D.D.S.?

The NPI number is 1053517417.

What is the phone number of Dr. Mabborang?

The phone number listed for the practice location is (815) 773-6200.

Where is Dr. Mabborang located?

10 S Larkin Ave, Joliet, IL 60436-1243.

What is the taxonomy code for Dr. Mabborang?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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