| NPI | 1306176615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE C DRAHOS General Dentist 773-788-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025635) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |