NPI | 1396820601 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL M STEC President 708-747-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001079) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-09-06 |