NPI | 1265569719 |
---|---|
Doing Business As | ALGONQUIN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BRIAN L. O'BYRN President 847-854-0016 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019-022080) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |