| NPI | 1285016709 |
|---|---|
| Other Name | NILES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL THEODORE ANAST Owner/Dental 847-965-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027804) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2015-06-20 |