NPI | 1255340402 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW W BROWAR Owner 630-655-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 21-001141) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 21-001083) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2014-09-11 |