| NPI | 1528681210 |
|---|---|
| Doing Business As | EVANSTON DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | NOLAN CHUN President/Owner 847-864-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |