| NPI | 1124857461 |
|---|---|
| Doing Business As | DENTAL 360 LOGAN SQUARE |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED PARVEZ Owner 630-294-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |