| NPI | 1689889727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROYAL MINTZ President 773-935-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019014116) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |