| NPI | 1003598210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHACHAT Founder 312-441-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-09-06 |