| NPI | 1467626044 |
|---|---|
| Doing Business As | PULASKI DENTAL |
| Entity Type | Organization |
| Authorized Contact | TOM CHAN Dentist 773-585-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 19024765) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |