| NPI | 1710019245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA MALINKOVICH President 773-651-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-023516) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |