| NPI | 1538335971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON JUAN RODRIGUEZ President 773-376-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.027200) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |