| NPI | 1831480458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL CRISTINA SUASTEGUI-MURSULI President/Owner 708-345-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019022083) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |