NPI | 1740889344 |
---|---|
Doing Business As | NSP DENTAL LLC |
Entity Type | Organization |
Authorized Contact | NICHOLAS S POLITO Dentist 847-367-1133 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |