| NPI | 1073249769 | 
|---|---|
| Doing Business As | NOBLE DENTISTRY OF CHICAGO | 
| Entity Type | Organization | 
| Authorized Contact | JARED BENJAMIN SIEGEL Dentist 631-374-8567 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2022-07-26 | 
| Last Update Date | 2025-01-21 |