NPI | 1740657774 |
---|---|
Entity Type | Organization |
Authorized Contact | YAROSLAV R YARMOLYUK Orthodontist 773-801-7174 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002488) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2020-01-21 |