| NPI | 1083500953 |
|---|---|
| Doing Business As | IRVING PARK FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHAD RUMLEY COO 336-586-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |