| NPI | 1417403148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY VICTORIA POSKOZIM Dentist 773-736-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025526) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |