| NPI | 1467621565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C KLYBER President 708-788-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020730) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |