NPI | 1205942299 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE EUGENE WOLFF President/ Dentist 708-799-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018559) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-22 |