| NPI | 1962110817 |
|---|---|
| Doing Business As | ORIS DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | EVAN PEDERSEN Owner 815-975-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |