| NPI | 1396244943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI HARALAMPOPOULOS Officer 847-414-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019023680) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |