| NPI | 1225200140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOS A TSALIAGOS President 708-923-1841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023116) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |