NPI | 1205996683 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY A. ARNOLD President 773-777-7780 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019014009) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-08-22 |