| NPI | 1295204220 |
|---|---|
| Doing Business As | DENTAL TOWN LITTLE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GONZALEZ Manager 708-713-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2023-05-05 |