| NPI | 1477713774 |
|---|---|
| Doing Business As | GREENBAY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONALD M. STANCZAK President 847-689-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 01912798) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |