| NPI | 1760572796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL INCZE President 773-761-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018456) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-12-13 |