| NPI | 1659627917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SAMBORSKI Dds 708-636-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017742) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |