| NPI | 1205013877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA S. RUBINSTEIN Secretary And Treasurer 773-561-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 319.004772) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2008-01-26 |