NPI | 1255541884 |
---|---|
Entity Type | Organization |
Authorized Contact | C. D. WATSON President 773-768-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020850) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |