NPI | 1760657548 |
---|---|
Entity Type | Organization |
Authorized Contact | KONSTANTIN JOHN KOHAN Dentist 847-255-3227 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025684) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |