| NPI | 1003622168 |
|---|---|
| Former Legal Business Name | CORE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SAMIM LUKE TARAJI Orthodontist 224-544-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-08-26 |