| NPI | 1649204835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM V. DOLGI Principal 773-348-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021-001763) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |