NPI | 1922486521 |
---|---|
Doing Business As | NAPERVILLE FAMILY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KAVEH NASIREDDIN ADEL President 630-369-8950 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 019024954) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019024954) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-05-14 |