| NPI | 1124285267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE LYNN BEESON Dentist 630-915-9510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027066) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |