| NPI | 1609541655 |
|---|---|
| Doing Business As | PRIME ASSOCIATES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | AKINWALE BANJI AKINWANDE President/ Owner 815-464-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |