| NPI | 1245597020 |
|---|---|
| Doing Business As | MY DENTIST & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROSLYN TRAVIS-STRATTON Dentist 773-434-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021392) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |