| NPI | 1356593206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOT BOTVINNIK President 847-583-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019025138) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |