| NPI | 1801159371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITAL SPATZ Dentist 773-908-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028295) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |