| NPI | 1245350321 |
|---|---|
| Doing Business As | THE DENTIST TREE |
| Entity Type | Organization |
| Authorized Contact | ERIK L NELSON Vice President 708-597-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023339) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019024471) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-07-07 |