| NPI | 1053438572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M AMEDEO President 847-696-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018581) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-10-06 |