| NPI | 1770780942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE H. ZAGER Owner 312-372-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019016301) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-13 |