NPI | 1649860149 |
---|---|
Doing Business As | JOHN BRENDICH DENTAL |
Entity Type | Organization |
Authorized Contact | ALEXANDER REZNIKOV President 312-588-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-01-19 |
Last Update Date | 2021-01-19 |