NPI | 1104086008 |
---|---|
Doing Business As | PAR DENTAL |
Entity Type | Organization |
Authorized Contact | JAMES P KANELLOS Dentist/Owner 773-978-4447 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 060.005824) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |