NPI | 1427248046 |
---|---|
Doing Business As | ASHBURN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ERIC R JOHNSON President 773-767-4030 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 19018832) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-07-30 |