NPI | 1124287362 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA LYNN DIMARIO Sole Proprietor 773-271-6168 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024582) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2011-10-20 |