NPI | 1033260864 |
---|---|
Entity Type | Organization |
Authorized Contact | SANFORD LEE BARR President 312-372-4844 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.015578) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-12-11 |