| NPI | 1417383142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANA SWEIS Director 773-447-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: LA 6247) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |