| NPI | 1003254947 |
|---|---|
| Doing Business As | PG FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER ANDREW DRAHOS Dentist President 773-516-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027907) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |