NPI | 1801298856 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME CUSHING President 773-248-8836 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.027354) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2014-09-22 |