| NPI | 1457421166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE A GOLDEN Owner/Orthodontist 630-665-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-12-28 |