| NPI | 1265289177 |
|---|---|
| Doing Business As | MYLO DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | FAITH FROST Credentialing Director 630-877-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |