NPI | 1730368812 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HERBERT FILIPPINI Owner 773-777-6507 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19020582) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 19019713) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-10-25 |