NPI | 1538830591 |
---|---|
Doing Business As | DERKSEN DENTISTRY |
Doing Business As | OAKHILL DENTAL ASSOCIATES |
Doing Business As | CAVANAUGH DENTAL |
Doing Business As | GARFIELD DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JIM DEBRUZZI CEO 847-987-9243 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-09-21 |
Last Update Date | 2023-08-17 |