NPI | 1134391055 |
---|---|
Former Legal Business Name | MANAGED CARE DENTAL SYSTEMS |
Entity Type | Organization |
Authorized Contact | BERNARD M. COLE President 773-267-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IL 019011463) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2008-04-01 |