NPI | 1851315378 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN CHARLES OLTEAN President 630-390-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 21002101) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-22 |