| NPI | 1346689791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D. ROPPA Owner 630-551-5423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17724) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN17681) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |