| NPI | 1114261427 |
|---|---|
| Doing Business As | RANDALL RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRYAN R. CICHON Owner/Dentist 630-587-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-023433) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |