| NPI | 1235283821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J DUFFNER Dentist 708-798-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019019782) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-09-23 |