NPI | 1063642874 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN VALCARENGHI Owner 630-834-8088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019020242) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2022-10-23 |