| NPI | 1114454287 |
|---|---|
| Doing Business As | GOLDEN AGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS AARON LOVINGER Owner 847-778-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-21 |