NPI | 1336316827 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY SHEEHAN President 630-584-8444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-017669) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |