| NPI | 1447144845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIANE GURGEL DO AMARAL JEREISSATI Owner 630-730-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-12 |