| NPI | 1013571132 |
|---|---|
| Doing Business As | EXCELLENCE IN DENTISTRY GURNEE |
| Entity Type | Organization |
| Authorized Contact | MARK ZIEBA President 773-456-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |