| NPI | 1386077436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOGDAN MIHAI TARAN President 773-733-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027941) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |