| NPI | 1043486970 |
|---|---|
| Doing Business As | FRONTIER PLACE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN F. JIMENEZ President/Owner 630-369-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026022) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |