| NPI | 1790384394 |
|---|---|
| Doing Business As | BRONZEVILLE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | YVETTE BATTLE Owner/Orthodontist 312-429-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |