| NPI | 1598400681 |
|---|---|
| Doing Business As | WINDSOR PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A CAPUTO Owner And Sole Member 224-595-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-01-20 |