| NPI | 1811409493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER H PIERMONT President 773-960-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10140) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |