| 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 |