| NPI | 1821266503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMETRIOS DIAMANTAKOS President 630-668-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060009682) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |