| 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 |