NPI | 1730247099 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM J DVORAK Pres 630-858-7017 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19 14549) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |