| NPI | 1205008943 |
|---|---|
| Doing Business As | DENTAL SALON |
| Entity Type | Organization |
| Authorized Contact | MARK WILKES MORRIS Owner 312-642-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |