NPI | 1215010582 |
---|---|
Former Legal Business Name | ROBERT L KASPERS DDS MS LTD |
Entity Type | Organization |
Authorized Contact | ROBERT LAWRENCE KASPERS President 847-564-9115 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019018515) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001187) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-07-01 |