| NPI | 1457474538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOGUMILA MARIA DUMANSKA -RUDZKI President Owner 773-763-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025412) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |