| NPI | 1083866123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD L GOOT Co President 312-263-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019015200) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019017801) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |