NPI | 1255452231 |
---|---|
Doing Business As | PEDIATRIC & ORTHODONTIC DENTAL HEALTH CARE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JOHN GEORGE CRAWFORD President 708-524-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.000832) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.000939) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-22 |