| NPI | 1972774016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIA LAMBERGHINI Owner 773-384-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |