| NPI | 1649657255 |
|---|---|
| Doing Business As | DENTAL ART SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MELVIN DILLARD Doctor 847-563-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002650) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029481) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2023-02-28 |