NPI | 1710306972 |
---|---|
Doing Business As | RIVERWALK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ANGELICA VAN DYKE Dentist 630-579-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027362) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |