| NPI | 1750899282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONNA RENEE CURRY Dental Director 773-951-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-025956) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |