| NPI | 1801633664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAD CHANG Owner 630-747-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |