| NPI | 1063954477 |
|---|---|
| Doing Business As | WARDELL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRUCE S. WARDELL President 630-697-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 021.002325) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |