| NPI | 1609548817 |
|---|---|
| Doing Business As | CAROL STREAM DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MOORE Director Of Revenue Cycle 832-704-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-07-26 |