| NPI | 1073956017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GOLDMAN President 847-987-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019015377) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |