| NPI | 1699989327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK F PISTO Dentist 630-236-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-023033) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |