| NPI | 1841674249 |
|---|---|
| Doing Business As | GALLERY PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON ROGERS Owner Dentist 847-250-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029194) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |