| NPI | 1902956386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA FAITH BRITTEN Dentist 847-358-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027168) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |