| NPI | 1023562600 |
|---|---|
| Other Name | JENNIFER GEISELHOFER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN GEISELHOFER Owner 708-650-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |