NPI | 1306055058 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK S BRAR President/Owner 630-883-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021499) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2017-05-11 |