| NPI | 1891070900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SEXSON Doctor/Owner 630-585-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 019024127) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-12-08 |