| NPI | 1912073263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ARTHUR OAK Owner President 708-749-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 19A10774) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |