| NPI | 1649303892 |
|---|---|
| Doing Business As | STREETERVILLE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SCOTT F. FUTCH Owner 312-337-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025503) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-02-16 |