| NPI | 1285232827 |
|---|---|
| Doing Business As | PARK BLVD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID DOODES Owner 630-765-1709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-11-18 |