NPI | 1679788319 |
---|---|
Entity Type | Organization |
Authorized Contact | MEENAKSHI BALAKRISHNAN President 630-515-2727 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019-026676) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-08-28 |