NPI | 1902075179 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS J. RYSZ President 708-484-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017892) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2008-02-21 |