NPI | 1164795175 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M GORIL President 773-646-4664 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-17193) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2012-02-22 |