NPI | 1427572247 |
---|---|
Doing Business As | WELLSPRING PERIODONTICS |
Entity Type | Organization |
Authorized Contact | ANKUR PATEL Periodontist 312-834-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-08-02 |
Last Update Date | 2017-08-02 |