NPI | 1396557955 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSH PHILIP Owner 847-502-2482 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-01-22 |