NPI | 1306859814 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ALAN PESAVENTO Dentist/Orthodontist 630-896-7739 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 01914382) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |