| NPI | 1255213898 |
|---|---|
| Doing Business As | ADDISON DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LUCY SHAH Dentist 847-858-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |