| NPI | 1780358812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA URSITTI Pediatric Dentist/Owner 847-870-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2023-07-17 |