NPI | 1669766549 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK VONWESTERNHAGEN Owner/Dentist 630-759-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3464) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2014-04-16 |