| NPI | 1831409762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN A WEYNETH Owner/Dentist 630-369-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019022305) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2017-11-27 |