| NPI | 1821376260 |
|---|---|
| Doing Business As | STRATFORD SQUARE PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | JUZER CHINWALLA President 630-582-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019023850) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |