| NPI | 1508018649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCA BLAKKOLB Office Manager 630-964-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-12-12 |