| NPI | 1831520428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS LABINOV Agent 708-445-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-024110) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |