| NPI | 1699062059 |
|---|---|
| Doing Business As | PEARL DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAWAZ KANNOUT Dentist 630-240-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 19024870) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |