NPI | 1730288242 |
---|---|
Entity Type | Organization |
Authorized Contact | DENA SPENCER President / Dentist 630-876-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-026021) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-02-28 |