| NPI | 1447569439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE JAMES KLERONOMOS President 773-430-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019657) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |