| NPI | 1730574641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA S PAUNESCU General Dentist/Owner 708-485-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024077) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |