| NPI | 1285922302 |
|---|---|
| Other Name | PRAIRIE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LINDA M WEGLARZ President 630-907-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 1916451) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |