| NPI | 1851529382 |
|---|---|
| Doing Business As | DISTINCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CONRAD MAGNO President 312-545-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.026625) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |