| NPI | 1841431657 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GEORGE P DANOS Owner 708-424-2277  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL D19-017908)  | 
| Enumeration Date | 2009-03-09 | 
| Last Update Date | 2009-03-09 |