| NPI | 1760679005 |
|---|---|
| Doing Business As | DAYSPRING PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KYLE E PEDERSEN Owner 630-587-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 021001694) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-03-07 |