| NPI | 1841372208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B BAPTIST President 773-233-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19015601) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |