| NPI | 1457521973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYANK R ADATIA President 847-769-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019017350) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2014-12-22 |