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 |