| NPI | 1417657974 |
|---|---|
| Doing Business As | CITY OF LIGHTS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SATISH K GOTTUMUKKULA Owner 630-618-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |