NPI | 1083079339 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN P REMPAS Owner 847-763-5890 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015631) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |