| NPI | 1992850697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVEN C GARTNER President 847-823-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |