NPI | 1205905312 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J PARSONS Endodontist 815-636-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 060-005026) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2008-04-17 |