| NPI | 1952453979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIETTA A BUFALINO President 847-397-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019069) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-01-12 |