| NPI | 1992969513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. BRENNER President/Dentist 630-323-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020454) |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2008-07-13 |