| NPI | 1225468572 |
|---|---|
| Doing Business As | MAPLEBROOK DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHEHBAZ SHAREEF President 331-588-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028816) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028852) |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2013-11-24 |