| 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 |