| NPI | 1467969378 |
|---|---|
| Doing Business As | SUDMAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHANE GALEN SUDMAN Owner, President 773-597-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NE 7064) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-04 |