NPI | 1982370334 |
---|---|
Doing Business As | 20/32 DENTAL CO. |
Entity Type | Organization |
Authorized Contact | ISIDRO DE LA FUENTE Business Manager 630-724-7765 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-08-17 |