| NPI | 1578990131 |
|---|---|
| Doing Business As | DENTISTRY 500 |
| Entity Type | Organization |
| Authorized Contact | DENNIS JOEL MILLER President 312-642-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19014231) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |