| NPI | 1104118744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK VONWESTERNHAGEN Owner / Dentist 630-759-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3464) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |