NPI | 1922406446 |
---|---|
Doing Business As | PETERSON DENTAL |
Entity Type | Organization |
Authorized Contact | NGOC-BICH NGUYEN President 773-743-4050 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 319016613) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |