| NPI | 1275661779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA P BENTKOVER Office Manager 847-869-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 060007089) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 019022791) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |