| NPI | 1487086674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA T HALIKIAS Owner 708-361-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021104) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |