| NPI | 1003084930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC B KOSEL Dentist Partner 708-532-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060001198) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |