| NPI | 1710489661 |
|---|---|
| Other Name | OCCLUSAL ENTERPRISE |
| Entity Type | Organization |
| Authorized Contact | GIOVANNI ARISTODEMO Doctor 847-854-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |