| NPI | 1285985549 |
|---|---|
| Doing Business As | BLOOMINGDALE DENTAL SLEEP THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRIAN T EVANS Owner 630-980-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019020133) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2016-01-14 |