| NPI | 1194998401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASA STOJANOVIC General Dentist 312-751-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026309) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |