| NPI | 1558598060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNIESZKA DOMAGALA President 773-777-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027819) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |