| NPI | 1982830220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GUERRA President 773-763-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027613) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |