| NPI | 1811054059 |
|---|---|
| Doing Business As | VILLAGE SQUARE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT G. BRUNETTI C.E.O. 847-640-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 060-008822) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |