| NPI | 1215566419 |
|---|---|
| Doing Business As | PANACEA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | HALA TAHA Manager 630-400-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |