| NPI | 1306211271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PALLOTTO Dentist/President 708-422-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019020334) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |