NPI | 1922153659 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA D VILLAMIL President 847-310-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023613) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2009-09-17 |