| NPI | 1679866321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SANIUK President 773-509-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019017944) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2014-11-02 |