NPI | 1972397420 |
---|---|
Doing Business As | LEADING EDGE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | KRIZIA VENICE PALLARCA President 847-679-0110 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-07-08 |