NPI | 1588196083 |
---|---|
Doing Business As | ALBANY PARK DENTAL |
Entity Type | Organization |
Authorized Contact | ERIC N. BLOOM Partner 847-791-3850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |