NPI | 1699911271 |
---|---|
Entity Type | Organization |
Authorized Contact | VASILIOS S PANOS President 630-954-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-022204) |
Enumeration Date | 2009-01-02 |
Last Update Date | 2009-01-02 |