NPI | 1780803619 |
---|---|
Doing Business As | RED ORTHODONTICS LTD. |
Entity Type | Organization |
Authorized Contact | CLARENCE JAMES RED President Orthodontist 815-744-2990 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.001867) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |