| NPI | 1295968121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LACAYO Pediatric Dentist 773-376-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019022928) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |