NPI | 1427443399 |
---|---|
Doing Business As | WARDELL ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BRUCE S WARDELL President 630-697-0334 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002325) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |