| NPI | 1326644600 |
|---|---|
| Doing Business As | HOMETOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 630-877-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |