NPI | 1457361784 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON LEVATO Dds/ President Of Corp. 630-529-2522 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019015589) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019020195) |
122300000X Dentist (Licence: IL 019026840) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |