NPI | 1104388974 |
---|---|
Doing Business As | COMPREHENSIVE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ROSEANNE BRUNENKANT Director Of Integrations 312-937-3619 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-04-02 |
Last Update Date | 2019-09-16 |