NPI | 1124507256 |
---|---|
Doing Business As | HART DENTAL |
Entity Type | Organization |
Authorized Contact | AGNIESZKA IWASZCZYSZYN President 708-291-0354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019030692) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |