| NPI | 1215335567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL BAKER Dentist 630-968-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 19A15345) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |