| NPI | 1366106874 |
|---|---|
| Doing Business As | OAK FOREST DENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JONELLE MARIAH DOCTOR URGENA Dentist/Owner 708-535-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2021-10-30 |