| NPI | 1932319423 |
|---|---|
| Doing Business As | COMPLETE HEALTH DENTISTRY OF PARK RIDGE |
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN KUCHTA President 847-696-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-08-04 |