NPI | 1417046905 |
---|---|
Doing Business As | BOULDER HILL DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MARK R COMMEAN Dentist Owner 630-896-5013 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 122300000X Dentist (Licence: IL 01914998) |
122300000X Dentist | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |