| NPI | 1033729090 |
|---|---|
| Doing Business As | NORTHBROOK ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | THOMAS LIM President 618-789-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |