| NPI | 1447504667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE SCHOLTZ Pediatric Dentist 847-478-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 0021001323) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IL 019019265) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |