NPI | 1457503245 |
---|---|
Entity Type | Organization |
Authorized Contact | MORRIS HUTABARAT President 630-572-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-005394) |
Enumeration Date | 2008-10-13 |
Last Update Date | 2008-10-13 |