NPI | 1841661931 |
---|---|
Doing Business As | WENDY SHORR DDS |
Entity Type | Organization |
Authorized Contact | WENDY ELLEN SHORR Owner 847-673-8883 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019021276) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-23 |