| NPI | 1356464176 |
|---|---|
| Doing Business As | VILLAGE GREEN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DMITRY D. SOKOL Owner, President 847-634-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-015955) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-024357) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2020-08-22 |