NPI | 1548568181 |
---|---|
Doing Business As | SONRISA DENTAL OF BOLINGBROOK |
Entity Type | Organization |
Authorized Contact | JILADA B WILLIAMS Owner 630-739-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018715) |
Enumeration Date | 2011-03-07 |
Last Update Date | 2011-03-07 |