| NPI | 1962676163 |
|---|---|
| Other Name | SHAWNWAY PLAZA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT BIANCALANA Owner/Dentist/President 847-985-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019018104) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |