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 |