NPI | 1447417118 |
---|---|
Other Name | SPANG DENTAL CENTER WEST |
Entity Type | Organization |
Authorized Contact | HEIDI NELSON Controller 773-751-4107 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 017) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |