NPI | 1861668600 |
---|---|
Entity Type | Organization |
Authorized Contact | DALIA JODWALIS Dentist 630-243-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023175) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |