| NPI | 1346699535 |
|---|---|
| Doing Business As | GRAND DENTAL - SYCAMORE |
| Entity Type | Organization |
| Authorized Contact | STEVE NAPIER Owner/Dentist 815-895-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-16 |