| NPI | 1407322043 |
|---|---|
| Doing Business As | CORNERSTONE DENTAL OF LINCOLN SQUARE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN GREGOIRE Manager 847-727-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-10-25 |