| NPI | 1477563799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SCENT Office Manager 630-896-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-004961) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |