NPI | 1235267469 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEFFIELD S HYDE Treasurer 847-358-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 060000422) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2022-09-20 |