| NPI | 1508038027 |
|---|---|
| Doing Business As | CICERO IRVING PARK DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LI President 847-284-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060.006712) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |