NPI | 1669622270 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN JARED ABRAMS General Dentist 847-962-3208 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027014) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2008-09-19 |