NPI | 1558401844 |
---|---|
Doing Business As | EDWARD G. VIVIT, DDS |
Entity Type | Organization |
Authorized Contact | EDWARD G. VIVIT President 773-478-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019022192) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2015-06-03 |