NPI | 1578684262 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER ZENAS BLISS Dentist 630-260-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017697) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |