| NPI | 1255457214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY C, SAFFOLD Dentist 773-955-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-19340) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |