| NPI | 1144540782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JEAN TAYLOR Dentist/Owner 773-568-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023707) |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2016-10-10 |