NPI | 1285144493 |
---|---|
Doing Business As | 4 STAR DENTAL |
Entity Type | Organization |
Authorized Contact | JACQUELINE BLASKO Dentist/Partner 630-869-0063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.026417) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2022-07-21 |