| NPI | 1710102967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SENDERAK Owner 815-758-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019844) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |