| NPI | 1407084445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA A PAVLETIC-VORDERER Dentist 708-422-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-018909) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |