| NPI | 1891122768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA S PAUNESCU Owner/Dentist 773-594-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024077) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |