| NPI | 1942793815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M GADIA Owner/ Dentist 312-588-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 019025900) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 019026871) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |