NPI | 1073731535 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT FRANK BRANDYS President 630-469-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021-001875) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |