| NPI | 1093904435 |
|---|---|
| Doing Business As | WOODLAKE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMIT SUD President 630-753-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026849) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |