| NPI | 1447048350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL CHANDOK Orthodontist 262-994-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |