| 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 |