| NPI | 1689105744 |
|---|---|
| Doing Business As | PRAIRIE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WANG Owner 630-989-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028748) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |