NPI | 1669904124 |
---|---|
Entity Type | Organization |
Authorized Contact | RALPH N. ROBBINS President 847-298-6030 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 215944) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |