NPI | 1245622711 |
---|---|
Doing Business As | DENTAL RADIANCE |
Entity Type | Organization |
Authorized Contact | CRISTINA S SAGUIL Dentist 847-519-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019-025143) |
Enumeration Date | 2015-02-20 |
Last Update Date | 2015-02-20 |