NPI | 1184834665 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANTINE L POLITIS President 708-386-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021-001248) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |