| NPI | 1003112632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT J LAFEMINA President 708-447-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019015136) |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2011-12-16 |