| NPI | 1750654281 |
|---|---|
| Other Name | OAK LAWN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK W. RUBY Owner 708-598-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |