| NPI | 1679761969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M DALY Office Manager 708-448-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |