| NPI | 1114275914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE SILVERS President 847-675-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019017109) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |