NPI | 1932372547 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNIE ANTHONY GORDON Business Development 630-926-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024669) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |