| NPI | 1932671708 |
|---|---|
| Doing Business As | REVOLUTION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARL ALEXANDER-MUTTER LEONARD Owner 312-498-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |