| NPI | 1679085245 |
|---|---|
| Doing Business As | INTERNATIONAL DENTAL OF OAK LAWN |
| Entity Type | Organization |
| Authorized Contact | NADAUNIA PEACHER Office Manager 708-634-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-06-14 |