| NPI | 1144765777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINA NASTASE Dentist 773-698-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019030349) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |