| NPI | 1477686293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L HOEXTER President 312-355-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 0244911) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-10-20 |