| NPI | 1619412087 |
|---|---|
| Other Name | ARTISAN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONNA MADDALOZZO President/Co Owner 847-934-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019847) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021001354) |
| 1223P0300X Dentist, Periodontics (Licence: IL 021001510) | |
| 1223G0001X Dentist, General Practice (Licence: IL 019021223) | |
| 1223P0300X Dentist, Periodontics (Licence: IL 021001430) | |
| 1223G0001X Dentist, General Practice (Licence: IL 019019961) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |