NPI | 1033280201 |
---|---|
Doing Business As | MITCHELL DENTAL SPA |
Entity Type | Organization |
Authorized Contact | MARGARET MITCHELL Dentist 312-642-1014 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.021472) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2008-06-26 |