NPI | 1598834046 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK F. LEONARD President 708-749-1643 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019 016359) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2014-04-15 |