| NPI | 1437496338 |
|---|---|
| Doing Business As | MONTROSE TOOTHFAIRY |
| Entity Type | Organization |
| Authorized Contact | CHERNARA BAKER Owner General Dentist 773-754-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027669) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |