NPI | 1740309509 |
---|---|
Doing Business As | NEW LENOX DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CAESAR CIAGLIA President 815-485-2345 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023087) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |