NPI | 1316156383 |
---|---|
Doing Business As | SOUTHTOWN DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | C G RAMMOHAN President 773-785-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019021989) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |