| NPI | 1629178520 |
|---|---|
| Doing Business As | HIGHLAND PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFF ANDREW BLEILE President 847-432-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026352) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |