NPI | 1891910451 |
---|---|
Doing Business As | MULFORD DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | VINCENT ZAMMUTO President 815-877-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021804) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |