| 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 |