| NPI | 1245435239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J WODNIAK President Dentist 630-893-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015175) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |