NPI | 1447347125 |
---|---|
Doing Business As | MAIN STREET COMMONS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | PAUL R MACO Owner 630-513-6760 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060009365) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2009-05-19 |