| NPI | 1497983688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANA HERER Owner 847-726-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019014868) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |