NPI | 1780993410 |
---|---|
Doing Business As | ST. BERNARD HOSPITAL DENTAL SERVICES |
Entity Type | Organization |
Authorized Contact | GUY RICHARD ALTON Chief Financial Officer 773-962-4073 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 0002303) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |