| NPI | 1811623788 |
|---|---|
| Other Name | JACK D MANIKOWSKI DDS PC |
| Entity Type | Organization |
| Authorized Contact | JOHN D MANIKOWSKI President 312-213-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |