| NPI | 1043600042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHWINI S JOSHI President 312-231-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002444) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |