| NPI | 1598159162 |
|---|---|
| Doing Business As | KISHWAUKEE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEJAL GIRISH PATEL Dentist 847-445-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019027620) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |