| NPI | 1841318805 |
|---|---|
| Doing Business As | PERIOCARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL J. CECALA President/Owner 773-631-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-12-22 |