| NPI | 1518839018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HEDGER Orthodontist 708-833-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |