| NPI | 1750503561 |
|---|---|
| Doing Business As | ASHLAND DENTAL AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ILENNE NOETZEL Dds 708-755-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19-024540) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-09-18 |