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 |