| NPI | 1467661462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT PARROTT President 773-549-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060006068019021733) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |