| NPI | 1679708572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE MILLER Owner Dentist 312-343-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025803) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |