| NPI | 1467574525 |
|---|---|
| Doing Business As | NORTHALSTED DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLARKE GRIFFIN President 773-296-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024935) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |