NPI | 1356633432 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK VONWESTERHAGEN Owner / Dentist 630-759-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3464) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2011-05-09 |