| NPI | 1790174738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B SILBERMAN Owner 847-864-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019-020446) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |