NPI | 1649038142 |
---|---|
Doing Business As | SIMON BOYARSKIY DDS LTD |
Entity Type | Organization |
Authorized Contact | SIMON BOYARSKIY Doctor 847-299-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-03-08 |
Last Update Date | 2024-03-08 |