| NPI | 1437671799 |
|---|---|
| Doing Business As | DESTINY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BORIS LABINOV Agent 708-613-4542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2017-07-08 |