Individual provider · Type 1 NPI
Jag M. Chawla, D.D.S
Orthodontics and Dentofacial Orthopedics Dentistry · Oak Brook, IL
Practice location
120 Oakbrook Ctr, Suite 802
Oak Brook, IL 60523-1806
Fax (630) 571-1977
Mailing address
2S615 Avenue Latour
Oak Brook, IL 60523-1064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 019020214 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1306065073
Jag M. Chawla, D.D.S's National Provider Identifier is 1306065073, issued on Apr 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Oak Brook, IL. The record was last updated on Jul 8, 2007.