| NPI | 1578970042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARDS SKOUMAL Dentist/Owner 630-232-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019029192) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |