NPI | 1730361791 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA MARIE WESTFALLEN President 847-823-5010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001951) |
Enumeration Date | 2007-12-02 |
Last Update Date | 2007-12-02 |