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 |