| NPI | 1720208952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J MAOLONI President 708-799-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 060000267019013072) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |