NPI | 1881858835 |
---|---|
Doing Business As | HARVEY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KENNETH O JOHNSON President 708-335-4387 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018099) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |