| NPI | 1861566929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL M WARSHAWSKY President 773-752-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 020001628) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |