| NPI | 1073954723 |
|---|---|
| Doing Business As | ADDISON DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GROH Owner/President 630-833-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019014858) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |