NPI | 1538236336 |
---|---|
Doing Business As | NORTH SHORE ORTHODONTIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BRYON KOZAK President Owner 847-234-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2006-11-29 |
Last Update Date | 2008-02-12 |