NPI | 1285807339 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID S YUDKOWSKY President 847-676-6512 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060007601) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |