NPI | 1255070181 |
---|---|
Doing Business As | WEST TOWN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JOSE KHALIFA Admin 773-252-5772 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-05-31 |