| NPI | 1134416118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO DEFATIMA SALERNO Dentist/President 847-334-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025191) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-04-23 |