| NPI | 1891927778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD AYLWARD Orthodontist 708-456-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 021001218) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |