| NPI | 1013120005 |
|---|---|
| Doing Business As | DOUGLAS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | AJITHA PARUCHURI President 630-229-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026362) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |