| NPI | 1881791069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARL GUINTA President 815-485-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 15489) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |