| NPI | 1073267829 |
|---|---|
| Doing Business As | EAGLE MOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEVEN C RENAS President 630-624-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |