| NPI | 1669139689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALINA LECH Dentist 773-987-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |