| NPI | 1023428794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J ACIERNO Dentist 630-339-3172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19021132) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-15 |