| NPI | 1649442344 |
|---|---|
| Doing Business As | LOGAN SQUARE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | IAN WILLIAM HOFFMAN President 773-227-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |