NPI | 1659816155 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN E KRAUSS Owner 847-675-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.019866) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2016-12-20 |