| NPI | 1245678473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON L DAVENPORT President 312-291-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021002223) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-07-10 |