| NPI | 1578955738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUI J. BARRETO Insurance Coordinator 773-278-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016514) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |