| NPI | 1710226386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GERGINIS Owner 773-878-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016806) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2013-02-02 |