| NPI | 1952890691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M SCHOENING Owner Dentist 872-888-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019029186) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |