| NPI | 1891402079 |
|---|---|
| Doing Business As | NU DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIATKACHORN RATANATHARATHORN President 312-375-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-30 |