NPI | 1487848214 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY I HOFFMAN President 773-478-5520 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19a13365) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2007-09-05 |