| NPI | 1740498666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S BARNETT President Dentist 847-679-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.012660) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |