NPI | 1659955052 |
---|---|
Doing Business As | NAPERVILLE DENTAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | TABATHA LEMKE Credentialing Coordinator 217-540-6078 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-05-11 |
Last Update Date | 2021-05-11 |