| NPI | 1760921019 |
|---|---|
| Doing Business As | ROUTE 14 DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES BECKER Office Manager 847-358-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |