| NPI | 1790095065 |
|---|---|
| Doing Business As | EVANSTON CHILDRENS DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | EVONDA THOMAS Director 847-844-2957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 074390907) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |