| NPI | 1821491937 |
|---|---|
| Other Name | DBA PREMIER ENDODONTIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRIAN WARDELL Manager 630-655-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021002266) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2020-10-30 |