| NPI | 1962913376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA LODHI Dentist/Owner 630-229-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-028960) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-06-16 |