NPI | 1164763520 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA SKOWRONSKI-ADAMIAK Dentist 312-296-1933 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028265) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2013-03-11 |