| NPI | 1306104062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J GUZZARDI Owner 630-907-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019017197) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |