| NPI | 1235375593 |
|---|---|
| Doing Business As | LAWRENCE-ASHLAND DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA BETTINA CRISOSTOMO Dentist 773-271-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025133) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2009-11-02 |