NPI | 1841350840 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE F SOLUS GAFFNEY Dentist President 708-349-7232 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019019230) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2012-02-01 |