| NPI | 1083773972 |
|---|---|
| Doing Business As | OLD ORCHARD DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DAVID A KANAREK President 847-677-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 19014884) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |