NPI | 1013281013 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA L GRACIAS Owner 312-236-3633 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022121) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-03-08 |