| NPI | 1881870079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN R FORFAR Oral Surgeon 630-668-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.021412) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-02-26 |