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 |