NPI | 1720316342 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BOND Doctor 630-983-6605 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018722) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |