| NPI | 1528303484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA BELANI Periodontist 630-452-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 019027902) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |