| NPI | 1841369543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J NICORATA President 708-448-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.020095) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |