| NPI | 1932267101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VICTOR VALENTINAS President 630-369-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.017898) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-07-08 |