NPI | 1255451795 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL DELANEY President 630-372-9787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021-001430) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |