| NPI | 1063587996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL M WARSHAWSKY President 708-403-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001628) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |