| NPI | 1871800656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS MADRIGAL Dentist/CEO 847-740-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019022762) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |