| NPI | 1891028452 |
|---|---|
| Doing Business As | ST. CHARLES DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE P GROH Owner 630-833-5110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |