NPI | 1598826927 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J BROWN President 708-798-4499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020645) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |