NPI | 1174396055 |
---|---|
Doing Business As | NORTHBRIDGE SMILES |
Entity Type | Organization |
Authorized Contact | ROHAN SHAH Owner 630-506-4704 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-11-02 |
Last Update Date | 2023-11-02 |