| NPI | 1265192751 |
|---|---|
| Doing Business As | MILL MOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VINCAS SIDRYS Member 312-231-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |