| NPI | 1508008988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR TISMENSKY Doctor/Owner 312-316-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025978) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |