NPI | 1558994392 |
---|---|
Doing Business As | INNOVA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KALPANA N KANDIMALLA Owner Dentist 630-518-2272 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2020-02-20 |
Last Update Date | 2022-06-21 |