| NPI | 1942715214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY HERNANN Owner 630-917-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00203107) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |