NPI | 1255400925 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD A STRAUMAN President 708-429-3504 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016658) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2008-07-08 |