| NPI | 1215099114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PETER MONTALEONE President 815-398-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021000451) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-06-17 |