NPI | 1497019301 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY ERIC CAMPIN President/Owner 630-515-1414 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-026141) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2012-06-26 |