| NPI | 1992279467 |
|---|---|
| Doing Business As | REILLY & SIEGEL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK ZIEBA President 847-727-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-10-25 |