| NPI | 1205942299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE EUGENE WOLFF President/ Dentist 708-799-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018559) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |