| NPI | 1538306071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAARA ANGELA MORRIS CEO 312-672-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019027070) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |