| NPI | 1568667988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALAN MCCLAIN Owner 312-921-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 015309) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2020-08-22 |