| NPI | 1710387162 |
|---|---|
| Doing Business As | VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD KLEIN President 847-364-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017467) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |