NPI | 1780059063 |
---|---|
Doing Business As | VIOLET CREEK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | YOUSAF AHMAD Owner 847-386-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019030102) |
Enumeration Date | 2015-12-11 |
Last Update Date | 2015-12-11 |