| NPI | 1821402017 |
|---|---|
| Doing Business As | LIVING WELL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KEVEN D WELLS President 773-793-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026710) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-17 |