| NPI | 1841350840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE F SOLUS GAFFNEY Dentist President 708-349-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019019230) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-02-01 |