| NPI | 1659451813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P REMPAS Owner 708-652-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |