| NPI | 1235302910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J. TRAKAKIS Owner 815-729-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022385) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |