NPI | 1760581243 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL V. UNTI President 847-359-7520 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019021233) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2012-05-24 |