| NPI | 1508946815 |
|---|---|
| Doing Business As | AUGUSTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUZANNA M PETTS Office Manager 847-247-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-06-23 |