NPI | 1326349770 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN STUART BROWN Office Manager 773-276-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019016946) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-11-16 |