| NPI | 1245571975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERITA STRACHAN Receptionist 847-770-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |