| NPI | 1679529150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK CANNATA President 708-755-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016042) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-04-01 |