NPI | 1184844953 |
---|---|
Doing Business As | MANUS DENTAL - OLYMPIA FIELDS |
Entity Type | Organization |
Authorized Contact | JEFF FREEDMAN President 312-274-3322 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022073) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019024881) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-06-13 |