| NPI | 1922146778 |
|---|---|
| Doing Business As | DIVISION DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | NIDZA ALICEA Office Manager 773-235-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-07-16 |