| NPI | 1952887374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GOLDMAN CEO/Co Founder 312-882-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 122300000X Dentist | |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |