| NPI | 1023232220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALAN POLLINA President 847-823-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 19A14137) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |