| NPI | 1669548343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL N UDITSKY President 847-882-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19A13692) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |