| NPI | 1073282661 |
|---|---|
| Doing Business As | DENTIQUE - DOWNERS GROVE |
| Entity Type | Organization |
| Authorized Contact | PRADEEP KHURANA Owner 312-399-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-04-25 |