NPI | 1487731808 |
---|---|
Other Name | DR THERESA M JANSKY DDS |
Entity Type | Organization |
Authorized Contact | DEBBIE A SANSONE Office Manager 630-858-0216 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019019339) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019023247) |
122300000X Dentist (Licence: IL 019021405) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2012-02-15 |