| NPI | 1720250939 |
|---|---|
| Doing Business As | ILLINOIS CHILDREN'S HEALTHCARE FOUNDATION DENTAL GRANT PROJECT |
| Entity Type | Organization |
| Authorized Contact | RONDA DEMATTEI Assoc. Prof./Dental Hygiene Program 618-453-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019014318) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |