NPI | 1043336621 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARIE BUEN Owner 708-386-6190 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024246) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |