NPI | 1205000825 |
---|---|
Other Name | CITY STYLE DENTAL |
Entity Type | Organization |
Authorized Contact | BRUNO A KNOPP Owner/President 773-481-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019026496) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |