| NPI | 1700800356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH RYAN Owne Northe Creek Dental Care 708-532-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023655) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-02-10 |