| NPI | 1043750714 |
|---|---|
| Doing Business As | MINALT & WOJCICKI DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER REZNIKOV President 847-877-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019029473) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: IL 019023898) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |