| NPI | 1356634208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN MILANI CEO 815-399-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020264) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |