| NPI | 1881717643 |
|---|---|
| Former Legal Business Name | GIRISH B VAIDYA |
| Entity Type | Organization |
| Authorized Contact | GIRISH BAPALAL VAIDYA President 773-533-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019017965) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |