| NPI | 1285966671 |
|---|---|
| Doing Business As | MODERN ESSENCE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRAINARD G. LLANES President 312-953-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019.025966) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |