NPI | 1578635637 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN REMPAS President 847-882-2620 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-15631) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |