NPI | 1609280080 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY C. RULE President 847-662-7717 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020985) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2014-06-13 |