| NPI | 1407108251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAMATA BLANAS Owner 847-475-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021639) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |