| NPI | 1457583536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MISERENDINO President 708-458-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019015140) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |