| NPI | 1649323239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIUSTO ROMANO Owner 630-837-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-09-19 |