| 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 (Licence: IL 019028702) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019024639) |
| 122300000X Dentist (Licence: IL 01914998) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |