| NPI | 1114093838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH PAVLETIC Corporate President 708-448-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019021737) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |