| NPI | 1154658540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOANA ALEXANDRA PORFIR President 312-451-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24228) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |