| NPI | 1184671893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DOHNALEK Presidant 847-438-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018679) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |