| NPI | 1477712545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ZELIKOW Owner 773-348-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019015) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |