| NPI | 1841482486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES MCDERMOTT President 872-256-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060004452) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2017-01-12 |