| NPI | 1427485267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERET J WEBER Orthodontist 630-665-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019016684) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |