| NPI | 1902184740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH MEYERING President 708-423-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19016965) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |