| NPI | 1831457639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH FRANCIS SHEPSTONE Health Care Provider/Owner 847-998-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020243) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |