| NPI | 1689109951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNA NALLAPANENI Dentist/Owner 847-777-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901020857) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |