| NPI | 1053542472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHYA MEDA NAGA Owner 630-416-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027401) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |