| NPI | 1508907544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRZYSZTOF AUGUSTYN Dds 773-237-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-024850) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2014-03-10 |