| NPI | 1699028167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE SILVERS Dentist 847-675-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017109) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |