| NPI | 1205145364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FAKLARIS Owner 847-696-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020173) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |