| NPI | 1346466851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COLLIER CLAY President 708-448-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060007230) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |