| NPI | 1316178619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST PANOS Orthodontist 773-577-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |