| NPI | 1689789422 |
|---|---|
| Former Legal Business Name | NOVA DENTAL |
| Entity Type | Organization |
| Authorized Contact | BARBARA TRUSZKOWSKI President 773-792-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019024300) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |