| NPI | 1447644802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LAVACCA President 630-848-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 4744296) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |