| NPI | 1548408438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOKHI D BOCK Owner / Partner 847-234-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002150) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002219) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2020-08-13 |