NPI | 1699101477 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS KACZYNSKI President 224-210-0634 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029515) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2013-09-24 |