| NPI | 1639342272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY ROBINSON Dentist 773-721-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-13341) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-17 |