| NPI | 1104781749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIBHAV JAGAD Dentist 815-995-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |