NPI | 1760977078 |
---|---|
Doing Business As | PEBBLEWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | LARISSA NAVARRO Owner/Dentist 630-369-6222 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019026759) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2022-07-21 |