| NPI | 1154584621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A. ZALE Dentist 815-462-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025386) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2008-07-05 |