| NPI | 1295039980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN B BARTH Owner 847-446-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-018676) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |