| NPI | 1447323696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J NUGENT President Dentist Owner 630-579-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016811) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |