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 |