| NPI | 1457673410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL E ATTA CEO 847-295-2855 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.014011) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 012.000694) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |