| NPI | 1265922355 |
|---|---|
| Doing Business As | PROSPECT DENTAL |
| Entity Type | Organization |
| Authorized Contact | IZABELA TOWALSKA Office Manager 847-890-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026158) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |