| NPI | 1518857911 |
|---|---|
| Doing Business As | LA GRANGE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | EVAN J FRY Dentist/Owner 708-352-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |