| NPI | 1942328752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN VILLANUEVA President 312-226-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022779) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |