| NPI | 1700952041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J LAZZARA Orthodontist President 630-232-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021000906) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019014908) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-09-11 |