| NPI | 1518004175 |
|---|---|
| Doing Business As | HAWTHORN WOODS FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN CALVERT EDGAR President, Afdc, Pc 773-736-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019 016412) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |