| NPI | 1053951954 |
|---|---|
| Doing Business As | HOMEWOOD DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | MELINDA FRIED Owner 708-539-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |