| NPI | 1245690098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOL KURZIAK Owner/Dentist 847-244-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019024191) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |