NPI | 1649441932 |
---|---|
Entity Type | Organization |
Authorized Contact | MILAN RONCEVIC General Manager 630-516-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026291) |
Enumeration Date | 2008-03-14 |
Last Update Date | 2008-03-14 |