NPI | 1598161432 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLIE A RHODES-GAYLES President/Owner 773-233-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019023222) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2014-11-04 |