| NPI | 1982804654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE REMPAS Owner 847-673-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223G0001X Dentist General Practice | |
| 1223G0001X Dentist General Practice | |
| 1223G0001X Dentist General Practice | |
| 1223G0001X Dentist General Practice | |
| 1223G0001X Dentist General Practice | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-10-27 |