| NPI | 1700587342 |
|---|---|
| Doing Business As | INSTITUTE OF DENTAL IMPLANTS AND PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY VINCENT ERDLE Owner 847-662-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-13 |