NPI | 1336515865 |
---|---|
Doing Business As | WRIGLEYVILLE DENTAL |
Entity Type | Organization |
Authorized Contact | BERNICE TEPLITSKY President 847-778-4588 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019027985) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |