| NPI | 1376693457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M FALSEY Dentist President A Corporation 708-802-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023208) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-09-26 |