| NPI | 1972023075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO ARIZONA Doctor/Owner 847-662-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-023609) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |