| NPI | 1124358551 |
|---|---|
| Doing Business As | 34TH STREET DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY A BRUCCI Owner 708-484-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019023728) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |