| NPI | 1861895468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IEVA DABEKA General Dentist 847-977-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.030054) |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |