NPI | 1891984852 |
---|---|
Doing Business As | DENTAL CARE OF VERNON HILLS |
Entity Type | Organization |
Authorized Contact | WILLIAM RYAN KISKER President 847-918-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2007-10-16 |
Last Update Date | 2007-10-16 |