NPI | 1558177238 |
---|---|
Doing Business As | DENTAL CARE OF OAK PARK |
Entity Type | Organization |
Authorized Contact | BRENDAN THOMAS VASTLIK Owner / Dentist 815-992-8393 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-12-06 |
Last Update Date | 2024-12-06 |