NPI | 1669734406 |
---|---|
Doing Business As | A BRUSH ABOVE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARCELLA R GUZMAN Dentist 773-276-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019023702) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2012-06-07 |