| NPI | 1689708398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER PHILLIP AUSTIN Owner 708-687-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060.007604) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |