| NPI | 1831301225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN MICHAEL SEIDMAN President 847-991-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019014155) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |