| NPI | 1881725141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. WARYJAS President 708-596-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019-015983) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |