NPI | 1427580075 |
---|---|
Doing Business As | ATHENA DENTAL GROUP OF CHICAGO |
Entity Type | Organization |
Authorized Contact | ANDREA MILLER-FINCH President 773-235-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022059) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |