| NPI | 1790232486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BONFIGLIO ZANONI Owner 847-824-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021-001270) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |