NPI | 1972670685 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK DENNIS LETIZIA President 630-529-0303 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017569) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |