| NPI | 1245297548 |
|---|---|
| Former Legal Business Name | 21ST CENTURY DENTAL CARE L.L.C. |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE NIRO-KRAEMER Owner 847-275-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-23708) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2023-11-22 |