| NPI | 1235340373 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | JOHN ROCCO MARINUCCI President 708-754-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019013059) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-02-07 |