| 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 |