| NPI | 1265395917 |
|---|---|
| Doing Business As | DENTAL TOWN ARCHER |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GONZALEZ VP Of Operations 708-713-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |