| NPI | 1366930604 |
|---|---|
| Doing Business As | ROOTS DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | PARAJ SURYAKANT PATEL President 708-636-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |