| NPI | 1497138135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA N ORTEGA Pediatric Dentist 847-579-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019026478) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |