| NPI | 1750643268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM MITCHELL Dentist/Owner 847-884-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017484) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |