| 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 |