| NPI | 1205082302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALINA BORISSOVA NIKOLOV Dentist / President 847-657-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019-026203) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |