| NPI | 1275828360 |
|---|---|
| Doing Business As | UPTOWN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY RUTTENCUTTER Owner 847-292-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.028273) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.027336) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-10-20 |