| NPI | 1679629331 |
|---|---|
| Doing Business As | STRATFORD SQUARE PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | JUZER CHINWALLA Owner 630-582-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: IL 019023850) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-01-28 |