| NPI | 1164969945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS NIKOLOVSKI Owner 708-705-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024482) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |