| NPI | 1215100508 |
|---|---|
| Doing Business As | LISLE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUMEET BAGAI President 773-368-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025044) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |