| NPI | 1588857114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR FEDIN President 708-246-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023661) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |