NPI | 1245401124 |
---|---|
Doing Business As | ATHENA DENTAL GROUP OF CHICAGO |
Entity Type | Organization |
Authorized Contact | ANDREA M MILLER FINCH Dentist 312-527-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022059) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2010-01-01 |