| NPI | 1588834972 |
|---|---|
| Doing Business As | NORTH SHORE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRYON R KOZAK President 262-697-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002014) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |