| NPI | 1114911872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J SPINAZZE Oral Maxillofacial Surgeon 847-255-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 060000198) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-22 |