NPI | 1457015513 |
---|---|
Doing Business As | LISLE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | NEHA KAPILA President 262-496-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-10-26 |
Last Update Date | 2021-11-05 |